744. EPMO Open Source Coordination Office Redaction File Detail Report

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744.1 Files compared

#	Location	File	Last Modified
1	C:\working_scrub\Unredacted\VAP Code Base\VAP_Bld2_Source_Code_CIF_2017-02-14\nvap-web\src\main\resources\gov\va\nvap\mock\report\sampleExportSQA\20170112\DEPARTMENT OF VETERANS AFFAIRS	374032_C32_20161208.xml	Thu Jan 12 19:48:54 2017 UTC
2	eHX-CIF.zip\eHX-CIF\VAP Code Base\VAP_Bld2_Source_Code_CIF_2017-02-14\nvap-web\src\main\resources\gov\va\nvap\mock\report\sampleExportSQA\20170112\DEPARTMENT OF VETERANS AFFAIRS	374032_C32_20161208.xml	Mon Apr 3 14:12:19 2017 UTC

744.2 Comparison summary

Description	Between Files 1 and 2
Description	Text Blocks	Lines
Unchanged	35	8060
Changed	34	68
Inserted	0	0
Removed	0	0

744.3 Comparison options

Whitespace
Character case	Differences in character case are significant
Line endings	Differences in line endings (`CR` and `LF` characters) are ignored
CR/LF characters	Not shown in the comparison detail

744.4 Active regular expressions

No regular expressions were active.

744.5 Comparison detail

	1	<?xml
	2	version="1 .0"
	3	encoding=" UTF-8"
	4	standalone ="no"
	5	?>
	6	<?xml-styl esheet
	7	type="text /xsl"
	8	href="CCD. xsl"
	9	?>
	10	<ClinicalD ocument
	11	xmlns="urn :hl7-org:v 3"
	12	xmlns:voc= "urn:hl7-o rg:v3/voc"
	13	xmlns:xsi= "http://ww w.w3.org/2 001/XMLSch ema-instan ce"
	14	xsi:schema Location=" urn:hl7-or g:v3 http: //xreg2.ni st.gov:110 80/hitspVa lidation/s chema/cdar 2c32/infra structure/ cda/C32_CD A.xsd"
	15	>
	16
	17	<!--
	18	**** ****** ****** ****** ****** ********
	19	CDA He ader
	20	**** ****** ****** ****** ****** ********
	21	-->
	22
	23	<!-- HITSP C32 V2.5: Add real mCode -->
	24
	25	<realmCode
	26	code="US"
	27	/>
	28
	29	<!-- Follo wing templ ate is HL7 CDA Relea se 2 -->
	30
	31	<!-- POCD_ HD000040 i s for Lab. Report.Cli nical.Docu ment -->
	32
	33	<typeId
	34	extension= "POCD_HD00 0040"
	35	root="2.16 .840.1.113 883.1.3"
	36	/>
	37
	38	<!-- HITSP C32 V2.5: Template for IHE P CC Medical Documents specifica tion -->
	39
	40	<templateI d
	41	root="1.3. 6.1.4.1.19 376.1.5.3. 1.1.1"
	42	/>
	43
	44	<!-- Follo wing templ ate is the CCD v1.0 Templates Root -->
	45
	46	<templateI d
	47	root="2.16 .840.1.113 883.10.20. 1"
	48	/>
	49
	50	<!-- HITSP C32 V2.5: Template for HL7 G eneral Hea der constr aints-->
	51
	52	<templateI d
	53	root="2.16 .840.1.113 883.10.20. 3"
	54	/>
	55
	56	<!-- Follo wing templ ate is the HITSP/C32 Registrat ion and Me dication T emplate -- >
	57
	58	<templateI d
	59	root="2.16 .840.1.113 883.3.88.1 1.32.1"
	60	/>
	61
	62	<!-- HITSP C32 V2.5: Template for HITSP C32 V2.5 -->
	63
	64	<templateI d
	65	root="2.16 .840.1.113 883.3.88.1 1.83.1"
	66	/>
	67
	68	<!-- CDA D ocument Id entifer, i d=VA OID, extension= system-gen erated -->
	69
	70	<id
	71	extension= "2.25.3391 9362060421 7959989168 3837036194 15668"
	72	root="2.16 .840.1.113 883.4.349"
	73	/>
	74
	75	<!-- CDA D ocument Co de -->
	76
	77	<code
	78	code="3413 3-9"
	79	codeSystem ="2.16.840 .1.113883. 6.1"
	80	displayNam e="Summari zation of Episode No te"
	81	/>
	82
	83	<!-- CDA D ocument Ti tle -->
	84
	85	<title>
	86	Department of Vetera ns Affairs Summariza tion of Ep isode Note
	87	</title>
	88
	89	<!-- 1.01 DOCUMENT T IMESTAMP, REQUIRED - ->
	90
	91	<effective Time
	92	value="201 6120821593 1-0600"
	93	/>
	94
	95	<!-- CDA C onfiedntia lity Code -->
	96
	97	<confident ialityCode
	98	code="N"
	99	codeSystem ="2.16.840 .1.113883. 5.25"
	100	/>
	101
	102	<!-- CDA D OCUMENT LA NGUAGE -->
	103
	104	<languageC ode
	105	code="en-U S"
	106	/>
	107
	108	<!--
	109	****** ****** ****** ****** ****** **
	110	PE RSON INFOR MATION CON TENT MODUL E, REQUIRE D
	111	****** ****** ****** ****** ****** **
	112	-- >
	113
	114	<recordTar get>
	115
	116	<patientRo le>
	117
	118	<!-- 1.02 PERSON ID, REQUIRED, id=VA OID , extensio n=GUID -->
	119
	120	<id
	121	extension= "101258980 2V311513"
	122	root="2.16 .840.1.113 883.4.349"
	123	/>
	124
	125	<!-- 1.03 PERSON AD DRESS-HOME PERMANENT , REQUIRED -->
	126
	127	<addr
	128	use="HP"
	129	>
	130
	131	<streetAdd ressLine>
	132	123 FIRST AVE SOUTH
	133	</streetAd dressLine>
	134
	135	<city>
	136	LARGO
	137	</city>
	138
	139	<state>
	140	FL
	141	</state>
	142
	143	<postalCod e>
	144	33777
	145	</postalCo de>
	146
	147	</addr>
	148
	149	<!-- 1.04 PERSON PHO NE/EMAIL/U RL, REQUIR ED -->
	150
	151	<telecom
	152	use="HP"
	153	value="tel :+1-727-12 3-4567"
	154	/>
	155
	156	<patient>
	157
	158	<!-- 1.05 PERSON NA ME LEGAL, REQUIRED - ->
	159
	160	<name
	161	use="L"
	162	>
	163
	164
	165	<given>
	166	ONE
	167	</given>
	168
	169	<family>
	170	VLERPATIEN T
	171	</family>
	172
	173
	174	</name>
	175
	176	<!-- 1.05 PERSON NA ME Alias N ame, Optio nal -->
	177
	178	<name
	179	use="P"
	180	>
	181
	182
	183	<given
	184	nullFlavor ="UNK"
	185	/>
	186
	187	<family
	188	nullFlavor ="UNK"
	189	/>
	190
	191
	192	</name>
	193
	194	<!-- HITSP C32 V2.5: 1.06 GEND ER, REQUIR ED AND REQ UIRED Term inology -- >
	195
	196	<!-- HITSP C32 V2.5: When Vist a value is M, F, sen d as HL7Ad minGenderC ode -->
	197
	198	<!-- HITSP C32 V2.5: When Vist a value is "Unknown" , send as genderCode nullFlavo r=UNK" -- >
	199
	200	<administr ativeGende rCode
	201	code="M"
	202	codeSystem ="2.16.840 .1.113883. 5.1"
	203	codeSystem Name="Admi nistrative GenderCode "
	204	displayNam e="Male"
	205	>
	206
	207	<originalT ext>
	208	MALE
	209	</original Text>
	210
	211	</administ rativeGend erCode>
	212
	213	<!-- 1.07 PERSON DAT E OF BIRTH , REQUIRED -->
	214
	215	<birthTime
	216	value="196 30410"
	217	/>
	218
	219	<!-- 1.08 MARITAL S TATUS, Opt ional-R2 - ->
	220
	221	<!-- VLER SEG 1B: S end as HL7 MaritalSt atus -->
	222
	223	<maritalSt atusCode
	224	code="M"
	225	codeSystem ="2.16.840 .1.113883. 5.2"
	226	codeSystem Name="Mari talStatusC ode"
	227	displayNam e="Married "
	228	>
	229
	230	<originalT ext>
	231	MARRIED
	232	</original Text>
	233
	234	</maritalS tatusCode>
	235
	236	<!-- 1.09 RELIGIOUS AFFILIATI ON, Option al, Remove d b/c data not yet a vailable v ia VA VIst A RPCs-->
	237
	238	<!-- 1.10 RACE, Opt ional -->
	239
	240	<!-- 1.10 RACE as o riginalTex t per NHIN Core Cont ent Specif ication b/ c VA code translatio n not yet available -->
	241
	242	<raceCode
	243	codeSystem ="2.16.840 .1.113883. 6.238"
	244	codeSystem Name="CDC Race and E thnicity"
	245	nullFlavor ="UNK"
	246	>
	247
	248
	249	</raceCode >
	250
	251	<!-- 1.11 ETHNICITY, Optional -->
	252
	253	<!-- 1.11 ETHNICITY as origina lText per NHIN Core Content Sp ecificatio n b/c VA c ode transl ation not yet availa ble -->
	254
	255	<ethnicGro upCode
	256	codeSystem ="2.16.840 .1.113883. 6.238"
	257	codeSystem Name="CDC Race and E thnicity"
	258	nullFlavor ="UNK"
	259	>
	260
	261
	262	</ethnicGr oupCode>
	263
	264	<!--
	265	****** ****** ****** ****** ****** ******
	266	LANGUAGE SPOKEN CO NTENT MODU LE
	267	****** ****** ****** ****** ****** ******
	268	-->
	269
	270	<languageC ommunicati on>
	271
	272	<templateI d
	273	root="2.16 .840.1.113 883.3.88.1 1.32.2"
	274	/>
	275
	276	<!-- 2.01 LANGUAGE, REQUIRED, languageC ode as nul lFlavor b/ c data not yet avail able via V A VistA RP Cs -->
	277
	278	<languageC ode
	279	nullFlavor ="UNK"
	280	/>
	281
	282	</language Communicat ion>
	283
	284	</patient>
	285
	286	</patientR ole>
	287
	288	</recordTa rget>
	289
	290	<!--
	291	****** ****** ****** ****** ****** **
	292	IN FORMATION SOURCE CON TENT MODUL E, REQUIRE D
	293	****** ****** ****** ****** ****** **
	294	-- >
	295
	296	<!-- AUTHO R SECTION (REQUIRED) OF INFORM ATION SOUR CE CONTENT MODULE -- >
	297
	298	<author>
	299
	300	<!-- 10.01 AUTHOR TI ME (=Docum ent Creati on Date), REQUIRED - ->
	301
	302	<time
	303	value="201 6120821593 1-0600"
	304	/>
	305
	306	<assignedA uthor>
	307
	308	<!-- 10.02 AUTHOR ID (VA OID) (authorOID ), REQUIIR ED -->
	309
	310	<id
	311	root="2.16 .840.1.113 883.4.349"
	312	/>
	313
	314	<!-- HITSP C32 V2.5: Assigned Author Ad dress Requ ired, but VA VistA d ata not ye t availabl e -->
	315
	316	<addr/>
	317
	318	<!-- HITSP C32 V2.5: Assigned Author T elecom Req uired, but VA VistA data not y et availab le -->
	319
	320	<telecom/>
	321
	322	<!-- 10.02 AUTHOR NA ME REQUIRE D -->
	323
	324	<!-- HITSP C32 V2.5: C83 ass ignedPerso n/Author N ame REQUIR ED but pro vided as r epresented Organizati on-->
	325
	326	<assignedP erson>
	327
	328	<name/>
	329
	330	</assigned Person>
	331
	332	<!-- 10.02 AUTHOR NA ME REQUIRE D as repre sentedOrga nization-- >
	333
	334	<represent edOrganiza tion>
	335
	336	<!-- 10.02 AUTHORING DEVICE OR GANIZATION OID (VA O ID) (devic eOrgOID), REQUIIRED -->
	337
	338	<id
	339	root="2.16 .840.1.113 883.4.349"
	340	/>
	341
	342	<!-- 10.02 AUTHORING DEVICE OR GANIZATION NAME (dev iceOrgName ), REQUIIR ED -->
	343
	344	<name>
	345	Department of Vetera ns Affairs
	346	</name>
	347
	348	<!-- HITSP C32 V2.5: Assigned Author T elecom Req uired, but VA VistA data not y et availab le -->
	349
	350	<telecom/>
	351
	352	<!-- HITSP C32 V2.5: Assigned Author Ad dress Requ ired, but VA VistA d ata not ye t availabl e -->
	353
	354	<addr/>
	355
	356	</represen tedOrganiz ation>
	357
	358	</assigned Author>
	359
	360	</author>
	361
	362	<!-- INFOR MATION SOU RCE SECTIO N (OPTIONA L)OF INFOR MATION SOU RCE CONTEN T MODULE - ->
	363
	364	<!-- 10.06 INFORMATI ON SOURCE AS AN ORGA NIZATION, REQUIRED - ->
	365
	366	<informant >
	367
	368	<assignedE ntity>
	369
	370	<id
	371	nullFlavor ="NI"
	372	/>
	373
	374	<!-- HITSP C32 V2.5: Address Required for inform ant/assign edEntity, but VA Vis tA data no t yet avai lable -->
	375
	376	<addr/>
	377
	378	<!-- HITSP C32 V2.5: Teleco m Required for infor mant/assig nedEntity, but VA Vi stA data n ot yet ava ilable -->
	379
	380	<telecom/>
	381
	382	<!-- HITSP C32 V2.5: assigned Person Req uired for informant/ assignedEn tity, but VA VistA d ata not ye t availabl e -->
	383
	384	<assignedP erson>
	385
	386	<!-- HITSP C32 V2.5: Name Req uired for informant/ assignedEn tity/assig nedPerson -->
	387
	388	<name>
	389	Department of Vetera ns Affairs
	390	</name>
	391
	392	</assigned Person>
	393
	394	<represent edOrganiza tion>
	395
	396	<!-- 10.06 INFORMATI ON SOURCE ORGANIZATI ON OID (VA OID) (sou rceOrgOID) , REQUIRED -->
	397
	398	<id
	399	root="2.16 .840.1.113 883.4.349"
	400	/>
	401
	402	<!-- 10.06 INFORMATI ON SOURCE ORGANIZATI ON NAME (s ourceOrgNa me), REQUI RED -->
	403
	404	<name>
	405	Department of Vetera ns Affairs
	406	</name>
	407
	408	<!-- HITSP C32 V2.5: Teleco m Required for repre sentedOrga nization, but VA Vis tA data no t yet avai lable -->
	409
	410	<telecom/>
	411
	412	<!-- HITSP C32 V2.5: Address Required for repres entedOrgan ization, b ut VA Vist A data not yet avail able -->
	413
	414	<addr/>
	415
	416	</represen tedOrganiz ation>
	417
	418	</assigned Entity>
	419
	420	</informan t>
	421
	422	<!--
	423	****** ****** ****** ****** ****** **
	424	CC D CDA R2 C USTODIAN A S AN ORGAN IZATION, R EQUIRED
	425	****** ****** ****** ****** ****** **
	426	-- >
	427
	428	<custodian >
	429
	430	<assignedC ustodian>
	431
	432	<represent edCustodia nOrganizat ion>
	433
	434	<!-- CCD C DA R2 CUST ODIAN OID (VA) (cust odianOID) -->
	435
	436	<id
	437	root="2.16 .840.1.113 883.4.349"
	438	/>
	439
	440	<!-- CCD C DA R2 CUST ODIAN NAME (custodia nName) -->
	441
	442	<name>
	443	Department of Vetera ns Affairs
	444	</name>
	445
	446	<!-- HITSP C32 V2.5: Teleco m Required for repre sentedOrga nization, but VA Vis tA data no t yet avai lable -->
	447
	448	<telecom/>
	449
	450	<!-- HITSP C32 V2.5: Address Required for repres entedOrgan ization, b ut VA Vist A data not yet avail able -->
	451
	452	<addr/>
	453
	454	</represen tedCustodi anOrganiza tion>
	455
	456	</assigned Custodian>
	457
	458	</custodia n>
	459
	460	<!--
	461	****** ****** ****** ****** ****** **
	462	CC D CDA R2 L EGAL AUTHE NTICATOR A S AN ORGAN IZATION, R EQUIRED
	463	****** ****** ****** ****** ****** **
	464	-- >
	465
	466	<legalAuth enticator>
	467
	468	<!-- CCD C DA R2 TIME OF AUTHEN TICATION - ->
	469
	470	<time
	471	value="201 6120821593 1-0600"
	472	/>
	473
	474	<signature Code
	475	code="S"
	476	/>
	477
	478	<assignedE ntity>
	479
	480	<id
	481	nullFlavor ="NI"
	482	/>
	483
	484	<!-- HITSP C32 V2.5: Address Required for assign edEntity, but VA Vis tA data no t yet avai lable -->
	485
	486	<addr/>
	487
	488	<!-- HITSP C32 V2.5: Teleco m Required for assig nedEntity, but VA Vi stA data n ot yet ava ilable -->
	489
	490	<telecom/>
	491
	492	<!-- HITSP C32 V2.5: assigne d Person R equired fo r legalAut henticator /assignedE ntity -->
	493
	494	<assignedP erson>
	495
	496	<name>
	497	Department of Vetera ns Affairs
	498	</name>
	499
	500	</assigned Person>
	501
	502	<represent edOrganiza tion>
	503
	504	<!-- CCD C DA R2 LEGA L AUTHENTI CATOR OID (VA) -->
	505
	506	<id
	507	root="2.16 .840.1.113 883.4.349"
	508	/>
	509
	510	<!-- CCD C DA R2 LEGA L AUTHENTI CATOR NAME (authenti catorName) -->
	511
	512	<name>
	513	Department of Vetera ns Affairs
	514	</name>
	515
	516	<!-- HITSP C32 V2.5: Teleco m Required for repre sentedOrga nization, but VA Vis tA data no t yet avai lable -->
	517
	518	<telecom/>
	519
	520	<!-- HITSP C32 V2.5: Address Required for repres entedOrgan ization, b ut VA Vist A data not yet avail able -->
	521
	522	<addr/>
	523
	524	</represen tedOrganiz ation>
	525
	526	</assigned Entity>
	527
	528	</legalAut henticator >
	529
	530	<!--
	531	**** ****** ****** ****** ****** ********
	532	SUPPOR T CONTENT MODULE, RE QUIRED
	533	**** ****** ****** ****** ****** ********
	534	-->
	535
	536	<participa nt
	537	typeCode=" IND"
	538	>
	539
	540	<!-- parti cipant blo ck repeate d for NOK and ECON - ->
	541
	542	<templateI d
	543	root="2.16 .840.1.113 883.3.88.1 1.32.3"
	544	/>
	545
	546	<!-- HITSP C32 V2.5: IHE Su pport Temp late -->
	547
	548	<templateI d
	549	root="1.3. 6.1.4.1.19 376.1.5.3. 1.2.4"
	550	/>
	551
	552	<!-- 3.01 DATE, REQ UIRED -->
	553
	554	<!-- 3.01 DATE date as nullFl avor b/c d ata not ye t availabl e via VA V istA RPCs -->
	555
	556	<time
	557	nullFlavor ="UNK"
	558	/>
	559
	560	<!-- 3.02 CONTACT T YPE, REQUI RED, class Code value determine d by VistA value in contactTyp e -->
	561
	562	<associate dEntity
	563	classCode= "NOK"
	564	>
	565
	566	<!-- 3.03 CONTACT R ELATIONSHI P as origi nalText pe r NHIN Cor e Content Specificat ion b/c VA code tran slation no t yet avai lable -->
	567
	568	<code
	569	code="UNK"
	570	codeSystem ="2.16.840 .1.113883. 5.111"
	571	codeSystem Name="Role Code"
	572	>
	573
	574	<originalT ext>
	575	WIFE
	576	</original Text>
	577
	578	</code>
	579
	580	<!-- 3.04 CONTACT A ddresss, H ome Perman ent, Optio nal-R2 -->
	581
	582	<addr
	583	use="HP"
	584	>
	585
	586	<streetAdd ressLine>
	587	123 FIRST AVE SOUTH
	588	</streetAd dressLine>
	589
	590	<city>
	591	LARGO
	592	</city>
	593
	594	<state>
	595	FLORIDA
	596	</state>
	597
	598	<postalCod e>
	599	33777
	600	</postalCo de>
	601
	602	</addr>
	603
	604	<!-- HITSP C32 V2.5: Teleco m Required for assig nedEntity -->
	605
	606	<!-- 3.05 CONTACT P HONE/EMAIL /URL, Opti onal-R2, Removed b/ c data not yet avail able via V A VistA RP Cs -->
	607
	608	<telecom
	609	use="HP"
	610	value="tel :+1-727-12 3-4567"
	611	/>
	612
	613	<associate dPerson>
	614
	615	<!-- 3.06 CONTACT NA ME, REQUIR ED -->
	616
	617	<name>
	618
	619
	620	<given>
	621	MARY
	622	</given>
	623
	624	<family>
	625	VLERPATIEN T
	626	</family>
	627
	628
	629	</name>
	630
	631	</associat edPerson>
	632
	633	</associat edEntity>
	634
	635	</particip ant>
	636
	637	<!--
	638	****** ****** ****** ****** ****** **
	639	CC D CDA R2 D OCUMENTATI ON OF MODU LE - QUERY META DATA , Optional
	640	****** ****** ****** ****** ****** **
	641	-- >
	642
	643	<documenta tionOf>
	644
	645	<serviceEv ent
	646	classCode= "PCPR"
	647	>
	648
	649	<effective Time>
	650
	651	<!-- QUERY META DATA , SERVICE START TIME , Optional -->
	652
	653	<low
	654	value="196 30410"
	655	/>
	656
	657	<!-- QUERY META DATA , SERVICE STOP TIME, Optional -->
	658
	659	<high
	660	value="201 6120821593 1-0600"
	661	/>
	662
	663	</effectiv eTime>
	664
	665	<!--
	666	**** ****** ****** ****** ****** ********
	667	HEALTH CARE PROVI DER MODULE , OPTIONAL
	668	**** ****** ****** ****** ****** ********
	669	-->
	670
	671
	672
	673	<performer
	674	typeCode=" PRF"
	675	>
	676
	677	<!-- Provi der Templa te Id -->
	678
	679	<templateI d
	680	root="2.16 .840.1.113 883.3.88.1 1.32.4"
	681	/>
	682
	683	<!-- 4.02- PROVIDER R OLE CODED, Optional- R2, Remove d b/c data not yet a vailable v ia VA Vist A RPCs -->
	684
	685
	686	<!-- 4.03- PROVIDER R OLE FREE T EXT, Optio nal-R2, Re moved b/c data not y et availab le via VA VistA RPCs -->
	687
	688	<!-- 4.01- DATE RANGE , Required , nullFlav or b/c dat a not yet available via VA Vis tA RPCs -- >
	689
	690	<time>
	691
	692	<high
	693	nullFlavor ="UNK"
	694	/>
	695
	696	</time>
	697
	698	<assignedE ntity>
	699
	700	<!-- Provi der ID fro m Problems Module (7 .05Treatin g Provider ID) -->
	701
	702	<id
	703	extension= "provider1 001"
	704	root="2.16 .840.1.113 883.4.349"
	705	/>
	706
	707	<!-- HITSP C32 V2.5: Address Required for assign edEntity, but VA Vis tA data no t yet avai lable -->
	708
	709	<addr/>
	710
	711	<!-- HITSP C32 V2.5: Teleco m Required for iassi gnedEntity , but VA V istA data not yet av ailable -- >
	712
	713	<telecom
	714	nullFlavor ="UNK"
	715	/>
	716
	717	<assignedP erson>
	718
	719	<name>
	720	ONLOES,SON JA
	721	</name>
	722
	723	</assigned Person>
	724
	725	<represent edOrganiza tion>
	726
	727	<!-- INFOR MATION SOU RCE FOR FA CILITY ID= VA OID, EX T= VAMC TR EATING FAC ILITY NBR -->
	728
	729	<id
	730	extension= "552"
	731	root="2.16 .840.1.113 883.4.349"
	732	/>
	733
	734	<!-- INFOR MATION SOU RCE FACILI TY NAME (f acilityNam e) -->
	735
	736	<name>
	737	DAYTON
	738	</name>
	739
	740	<!-- HITSP C32 V2.5: Teleco m Required for repre sentedOrga nization, but VA Vis tA data no t yet avai lable -->
	741
	742	<telecom/>
	743
	744	<!-- HITSP C32 V2.5: Address Required for repres entedOrgan ization, b ut VA Vist A data not yet avail able -->
	745
	746	<addr/>
	747
	748	</represen tedOrganiz ation>
	749
	750	</assigned Entity>
	751
	752	</performe r>
	753	<performer
	754	typeCode=" PRF"
	755	>
	756
	757	<!-- Provi der Templa te Id -->
	758
	759	<templateI d
	760	root="2.16 .840.1.113 883.3.88.1 1.32.4"
	761	/>
	762
	763	<!-- 4.02- PROVIDER R OLE CODED, Optional- R2, Remove d b/c data not yet a vailable v ia VA Vist A RPCs -->
	764
	765
	766	<!-- 4.03- PROVIDER R OLE FREE T EXT, Optio nal-R2, Re moved b/c data not y et availab le via VA VistA RPCs -->
	767
	768	<!-- 4.01- DATE RANGE , Required , nullFlav or b/c dat a not yet available via VA Vis tA RPCs -- >
	769
	770	<time>
	771
	772	<high
	773	nullFlavor ="UNK"
	774	/>
	775
	776	</time>
	777
	778	<assignedE ntity>
	779
	780	<!-- Provi der ID fro m Problems Module (7 .05Treatin g Provider ID) -->
	781
	782	<id
	783	extension= "provider1 002"
	784	root="2.16 .840.1.113 883.4.349"
	785	/>
	786
	787	<!-- HITSP C32 V2.5: Address Required for assign edEntity, but VA Vis tA data no t yet avai lable -->
	788
	789	<addr/>
	790
	791	<!-- HITSP C32 V2.5: Teleco m Required for iassi gnedEntity , but VA V istA data not yet av ailable -- >
	792
	793	<telecom
	794	nullFlavor ="UNK"
	795	/>
	796
	797	<assignedP erson>
	798
	799	<name>
	800	HASHEMZADE H,DARIOUSH
	801	</name>
	802
	803	</assigned Person>
	804
	805	<represent edOrganiza tion>
	806
	807	<!-- INFOR MATION SOU RCE FOR FA CILITY ID= VA OID, EX T= VAMC TR EATING FAC ILITY NBR -->
	808
	809	<id
	810	extension= "552"
	811	root="2.16 .840.1.113 883.4.349"
	812	/>
	813
	814	<!-- INFOR MATION SOU RCE FACILI TY NAME (f acilityNam e) -->
	815
	816	<name>
	817	DAYTON
	818	</name>
	819
	820	<!-- HITSP C32 V2.5: Teleco m Required for repre sentedOrga nization, but VA Vis tA data no t yet avai lable -->
	821
	822	<telecom/>
	823
	824	<!-- HITSP C32 V2.5: Address Required for repres entedOrgan ization, b ut VA Vist A data not yet avail able -->
	825
	826	<addr/>
	827
	828	</represen tedOrganiz ation>
	829
	830	</assigned Entity>
	831
	832	</performe r>
	833	<performer
	834	typeCode=" PRF"
	835	>
	836
	837	<!-- Provi der Templa te Id -->
	838
	839	<templateI d
	840	root="2.16 .840.1.113 883.3.88.1 1.32.4"
	841	/>
	842
	843	<!-- 4.02- PROVIDER R OLE CODED, Optional- R2, Remove d b/c data not yet a vailable v ia VA Vist A RPCs -->
	844
	845
	846	<!-- 4.03- PROVIDER R OLE FREE T EXT, Optio nal-R2, Re moved b/c data not y et availab le via VA VistA RPCs -->
	847
	848	<!-- 4.01- DATE RANGE , Required , nullFlav or b/c dat a not yet available via VA Vis tA RPCs -- >
	849
	850	<time>
	851
	852	<high
	853	nullFlavor ="UNK"
	854	/>
	855
	856	</time>
	857
	858	<assignedE ntity>
	859
	860	<!-- Provi der ID fro m Problems Module (7 .05Treatin g Provider ID) -->
	861
	862	<id
	863	extension= "provider1 003"
	864	root="2.16 .840.1.113 883.4.349"
	865	/>
	866
	867	<!-- HITSP C32 V2.5: Address Required for assign edEntity, but VA Vis tA data no t yet avai lable -->
	868
	869	<addr/>
	870
	871	<!-- HITSP C32 V2.5: Teleco m Required for iassi gnedEntity , but VA V istA data not yet av ailable -- >
	872
	873	<telecom
	874	nullFlavor ="UNK"
	875	/>
	876
	877	<assignedP erson>
	878
	879	<name>
	880	HASHEMZADE H,DARIOUSH
	881	</name>
	882
	883	</assigned Person>
	884
	885	<represent edOrganiza tion>
	886
	887	<!-- INFOR MATION SOU RCE FOR FA CILITY ID= VA OID, EX T= VAMC TR EATING FAC ILITY NBR -->
	888
	889	<id
	890	extension= "552"
	891	root="2.16 .840.1.113 883.4.349"
	892	/>
	893
	894	<!-- INFOR MATION SOU RCE FACILI TY NAME (f acilityNam e) -->
	895
	896	<name>
	897	DAYTON
	898	</name>
	899
	900	<!-- HITSP C32 V2.5: Teleco m Required for repre sentedOrga nization, but VA Vis tA data no t yet avai lable -->
	901
	902	<telecom/>
	903
	904	<!-- HITSP C32 V2.5: Address Required for repres entedOrgan ization, b ut VA Vist A data not yet avail able -->
	905
	906	<addr/>
	907
	908	</represen tedOrganiz ation>
	909
	910	</assigned Entity>
	911
	912	</performe r>
	913
	914	</serviceE vent>
	915
	916	</document ationOf>
	917
	918	<!--
	919	****** ****** ****** ****** ****** **
	920	CD A BODY
	921	****** ****** ****** ****** ****** **
	922	-- >
	923
	924	<component >
	925
	926	<structure dBody>
	927
	928	<!--
	929	**** ****** ****** ****** ****** ********
	930	ALLERG Y/DRUG SEC TION SECTI ON
	931	**** ****** ****** ****** ****** ********
	932	-->
	933
	934	<component >
	935
	936	<section>
	937
	938	<!-- CCD A lert Secti on Templat e-->
	939
	940	<templateI d
	941	root="2.16 .840.1.113 883. IP "
	942	/>
	943
	944	<!-- HITSP C32 V2.5: Allergy and Advers e Reaction Section T emplate -- >
	945
	946	<templateI d
	947	root="2.16 .840.1.113 883.3.88.1 1.83.102"
	948	/>
	949
	950	<!-- HITSP C32 V2.5: IHE Alle rgies and Other Adve rse Reacti ons Secti on Templat e -->
	951
	952	<templateI d
	953	root="1.3. 6.1.4.1.19 376.1.5.3. 1.3.13"
	954	/>
	955
	956	<!-- HITSP C32 V2.5: CCD Sect ion Confor mance code value , s tatic -->
	957
	958	<code
	959	code="4876 5-2"
	960	codeSystem ="2.16.840 .1.113883. 6.1"
	961	displayNam e="Allergi es, advers e reaction s, alerts"
	962	/>
	963
	964	<title>
	965	Allergies
	966	</title>
	967
	968	<!-- ALLE RGIES NARR ATIVE BLOC K -->
	969
	970	<text>
	971
	972	<!-- VLER SEG 1B: Al lergies/Dr ug Busines s Rules fo r Medical Content - ->
	973
	974	<table
	975	border="1"
	976	width="100 %"
	977	>
	978
	979	<thead>
	980
	981	<tr>
	982
	983	<th>
	984	Department of Vetera ns Affairs
	985	</th>
	986
	987	<th>
	988	Business R ules for C onstructio n of Medic al Informa tion
	989	</th>
	990
	991	</tr>
	992
	993	</thead>
	994
	995	<tbody>
	996
	997	<tr>
	998
	999	<td>
	1000	Allergies
	1001	</td>
	1002
	1003	<td>
	1004	This secti on contain s all pati ent allerg y informat ion from a ll VA trea tment faci lities. It does not contain pa tient alle rgies that were dele ted or ent ered in er ror.
	1005	</td>
	1006
	1007	</tr>
	1008
	1009	</tbody>
	1010
	1011	</table>
	1012
	1013	<table
	1014	ID="allerg yNarritive "
	1015	border="1"
	1016	width="100 %"
	1017	>
	1018
	1019	<thead>
	1020
	1021	<tr>
	1022
	1023	<th>
	1024	Allergy
	1025	</th>
	1026
	1027	<th>
	1028	Coded Alle rgy
	1029	</th>
	1030
	1031	<th>
	1032	Verificati on Date
	1033	</th>
	1034
	1035	<th>
	1036	Event Type
	1037	</th>
	1038
	1039	<th>
	1040	Reaction
	1041	</th>
	1042
	1043	<th>
	1044	Severity
	1045	</th>
	1046
	1047	<th>
	1048	Source
	1049	</th>
	1050
	1051	</tr>
	1052
	1053	</thead>
	1054
	1055	<tbody>
	1056
	1057	<tr>
	1058
	1059	<td>
	1060
	1061	<content
	1062	ID="andAll ergy1001"
	1063	>
	1064	LATEX
	1065	</content>
	1066
	1067	</td>
	1068
	1069	<td>
	1070
	1071	<content
	1072	ID="andCod edAllergyN ame1001"
	1073	>
	1074	Coded Alle rgy Name N ot Availab le
	1075	</content>
	1076
	1077	</td>
	1078
	1079	<td>
	1080
	1081	<content
	1082	ID="andVer ificationD ate1001"
	1083	>
	1084	2010091009 0444
	1085	</content>
	1086
	1087	</td>
	1088
	1089	<td>
	1090
	1091	<content
	1092	ID="andEve ntType1001 "
	1093	>
	1094	Propensity to advers e reaction s to drug
	1095	</content>
	1096
	1097	</td>
	1098
	1099	<td>
	1100
	1101	<list>
	1102
	1103	<item>
	1104
	1105	<content
	1106	ID="andRea ction1001- 1001"
	1107	>
	1108	HIVES
	1109	</content>
	1110
	1111	</item>
	1112	<item>
	1113
	1114	<content
	1115	ID="andRea ction1001- 1002"
	1116	>
	1117	RASH
	1118	</content>
	1119
	1120	</item>
	1121
	1122	</list>
	1123
	1124	</td>
	1125
	1126	<td>
	1127
	1128	<content
	1129	ID="andSev erity1001"
	1130	/>
	1131
	1132	</td>
	1133
	1134	<td>
	1135
	1136	<content
	1137	ID="andSou rce1001"
	1138	>
	1139	DAYTSHR TE ST LAB
	1140	</content>
	1141
	1142	</td>
	1143
	1144	</tr>
	1145	<tr>
	1146
	1147	<td>
	1148
	1149	<content
	1150	ID="andAll ergy1002"
	1151	>
	1152	PENICILLIN
	1153	</content>
	1154
	1155	</td>
	1156
	1157	<td>
	1158
	1159	<content
	1160	ID="andCod edAllergyN ame1002"
	1161	>
	1162	Coded Alle rgy Name N ot Availab le
	1163	</content>
	1164
	1165	</td>
	1166
	1167	<td>
	1168
	1169	<content
	1170	ID="andVer ificationD ate1002"
	1171	>
	1172	2010091009 0444
	1173	</content>
	1174
	1175	</td>
	1176
	1177	<td>
	1178
	1179	<content
	1180	ID="andEve ntType1002 "
	1181	>
	1182	Propensity to advers e reaction s to drug
	1183	</content>
	1184
	1185	</td>
	1186
	1187	<td>
	1188
	1189	<list>
	1190
	1191	<item>
	1192
	1193	<content
	1194	ID="andRea ction1002- 1003"
	1195	>
	1196	NAUSEA,VOM ITING
	1197	</content>
	1198
	1199	</item>
	1200
	1201	</list>
	1202
	1203	</td>
	1204
	1205	<td>
	1206
	1207	<content
	1208	ID="andSev erity1002"
	1209	/>
	1210
	1211	</td>
	1212
	1213	<td>
	1214
	1215	<content
	1216	ID="andSou rce1002"
	1217	>
	1218	DAYTSHR TE ST LAB
	1219	</content>
	1220
	1221	</td>
	1222
	1223	</tr>
	1224
	1225	</tbody>
	1226
	1227	</table>
	1228
	1229	</text>
	1230
	1231	<entry
	1232	typeCode=" DRIV"
	1233	>
	1234
	1235	<act
	1236	classCode= "ACT"
	1237	moodCode=" EVN"
	1238	>
	1239
	1240	<templateI d
	1241	assigningA uthorityNa me="CCD"
	1242	root="2.16 .840.1.113 883. IP "
	1243	/>
	1244
	1245	<!-- HITSP C32 V2.5: Template s for Alle rgy/Drug M odule/Entr y -->
	1246
	1247	<templateI d
	1248	root="2.16 .840.1.113 883.3.88.1 1.83.6"
	1249	/>
	1250
	1251	<templateI d
	1252	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5.1"
	1253	/>
	1254
	1255	<templateI d
	1256	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5.3"
	1257	/>
	1258
	1259	<!-- CCD A llergy Act ID as nul lflavor -- >
	1260
	1261	<id
	1262	nullFlavor ="UNK"
	1263	/>
	1264
	1265	<code
	1266	nullFlavor ="NA"
	1267	/>
	1268
	1269	<!-- HITSP C32 V2.5: IHE Conc ern Templa te Require s statusCo de and eff ectiveTime -->
	1270
	1271	<statusCod e
	1272	code="acti ve"
	1273	/>
	1274
	1275	<effective Time>
	1276
	1277	<low
	1278	nullFlavor ="UNK"
	1279	/>
	1280
	1281	</effectiv eTime>
	1282
	1283	<!-- INFOR MATION SOU RCE FOR AL LERGIES/DR UG, Option al -->
	1284
	1285	<author>
	1286
	1287	<!-- ADD TIME TO IN FORMATION SOURCE FOR ALLERGIES /DRUG -->
	1288
	1289	<time
	1290	nullFlavor ="UNK"
	1291	/>
	1292
	1293	<assignedA uthor>
	1294
	1295	<id
	1296	nullFlavor ="NI"
	1297	/>
	1298
	1299	<!-- HITSP C32 V2.5: Address Required for assign edEntity, but VA Vis tA data no t yet avai lable -->
	1300
	1301	<addr/>
	1302
	1303	<!-- HITSP C32 V2.5: Teleco m Required for assig nedEntity, but VA Vi stA data n ot yet ava ilable -->
	1304
	1305	<telecom/>
	1306
	1307	<represent edOrganiza tion>
	1308
	1309	<!-- INFOR MATION SOU RCE FOR FA CILITY ID= VA OID, EX T= VAMC TR EATING FAC ILITY NBR -->
	1310
	1311	<id
	1312	extension= "984"
	1313	root="2.16 .840.1.113 883.4.349"
	1314	/>
	1315
	1316	<!-- INFOR MATION SOU RCE FACILI TY NAME (f acilityNam e) -->
	1317
	1318	<name>
	1319	DAYTSHR TE ST LAB
	1320	</name>
	1321
	1322	<!-- HITSP C32 V2.5: Teleco m Required for repre sentedOrga nization, but VA Vis tA data no t yet avai lable -->
	1323
	1324	<telecom/>
	1325
	1326	<!-- HITSP C32 V2.5: Address Required for repres entedOrgan ization, b ut VA Vist A data not yet avail able -->
	1327
	1328	<addr/>
	1329
	1330	</represen tedOrganiz ation>
	1331
	1332	</assigned Author>
	1333
	1334	</author>
	1335
	1336	<entryRela tionship
	1337	inversionI nd="false"
	1338	typeCode=" SUBJ"
	1339	>
	1340
	1341	<observati on
	1342	classCode= "OBS"
	1343	moodCode=" EVN"
	1344	>
	1345
	1346	<!-- HITSP C32 V2.5: Allerg y Template s -->
	1347
	1348	<templateI d
	1349	root="2.16 .840.1.113 883. IP "
	1350	/>
	1351
	1352	<!-- Alert observati on templat e -->
	1353
	1354	<templateI d
	1355	root="2.16 .840.1.113 883. IP "
	1356	/>
	1357
	1358	<templateI d
	1359	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5"
	1360	/>
	1361
	1362	<templateI d
	1363	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.6"
	1364	/>
	1365
	1366	<!-- HITSP C32 V2.5: IHE Obser vation Tem plates Req uire Id -- >
	1367
	1368	<id
	1369	nullFlavor ="UNK"
	1370	/>
	1371
	1372	<!-- 6.02 ADVERSE EV ENT TYPE, REQUIRED; SNOMED CT -->
	1373
	1374	<!-- HITSP C32 V2.5: 6.02 ADV ERSE EVENT TYPE SNOM ED CT Term inology Re quired -->
	1375
	1376	<code
	1377	code="4195 11003"
	1378	codeSystem ="2.16.840 .1.113883. 6.96"
	1379	codeSystem Name="SNOM ED CT"
	1380	displayNam e="Propens ity to adv erse react ions to dr ug"
	1381	>
	1382
	1383	<originalT ext>
	1384	DRUG
	1385	</original Text>
	1386
	1387	</code>
	1388
	1389	<!-- IHE Status Cod e fro Obse rvation -- >
	1390
	1391	<statusCod e
	1392	code="comp leted"
	1393	/>
	1394
	1395	<!-- 6.01 ADVERSE EV ENT DATE, Optional-R 2 -->
	1396
	1397	<effective Time>
	1398
	1399	<low
	1400	value="201 0091009044 4"
	1401	/>
	1402
	1403	</effectiv eTime>
	1404
	1405	<!-- HITSP C32 V2.5: IHE Alle rgy Concer n Template Requires value, Whe n uncoded only xsi:t ype=CD all owed -->
	1406
	1407	<value
	1408	xsi:type=" CD"
	1409	/>
	1410
	1411	<!-- HITSP C32 V2.5: Participa nt block f or 6.04-Pr oduct Code d -->
	1412
	1413	<participa nt
	1414	typeCode=" CSM"
	1415	>
	1416
	1417	<participa ntRole
	1418	classCode= "MANU"
	1419	>
	1420
	1421	<playingEn tity
	1422	classCode= "MMAT"
	1423	>
	1424
	1425	<!-- 6.04 PRODUCT C ODED, Opti onal-R2, R emoved b/c data not yet availa ble via VA VistA RPC s -->
	1426
	1427	<code
	1428	code="UNK"
	1429	nullFlavor ="UNK"
	1430	>
	1431
	1432	<originalT ext>
	1433
	1434	<reference
	1435	value="#an dCodedAlle rgyName100 1"
	1436	/>
	1437
	1438	</original Text>
	1439
	1440	</code>
	1441
	1442	<!-- 6.03 PRODUCT FR EE TEXT, R EQUIRED-->
	1443
	1444	<name>
	1445	LATEX
	1446	</name>
	1447
	1448	</playingE ntity>
	1449
	1450	</particip antRole>
	1451
	1452	</particip ant>
	1453
	1454	<!-- SEVE RITY ENTRY RELATIONS HIP BLOCK optional, 0 or 1 per Allergy - ->
	1455
	1456
	1457	<!-- REAC TION ENTRY RELATIONSH IP BLOCK o ptional, r epeatable -->
	1458
	1459	<entryRela tionship
	1460	inversionI nd="true"
	1461	typeCode=" MFST"
	1462	>
	1463
	1464	<observati on
	1465	classCode= "OBS"
	1466	moodCode=" EVN"
	1467	>
	1468
	1469	<!-- React ion Templa te ID -->
	1470
	1471	<templateI d
	1472	root="2.16 .840.1.113 883. IP "
	1473	/>
	1474
	1475	<!-- HITSP C32 V2.5: Allerg y Template s -->
	1476
	1477	<templateI d
	1478	root="2.16 .840.1.113 883. IP "
	1479	/>
	1480
	1481	<templateI d
	1482	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5"
	1483	/>
	1484
	1485	<templateI d
	1486	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.6"
	1487	/>
	1488
	1489	<id
	1490	nullFlavor ="UNK"
	1491	/>
	1492
	1493	<code
	1494	code="ASSE RTION"
	1495	codeSystem ="2.16.840 .1.113883. 5.4"
	1496	codeSystem Name="HL7A ctCode"
	1497	/>
	1498
	1499	<!-- 6.05 REACTION-F REE TEXT, optional,- ->
	1500
	1501	<text>
	1502
	1503	<reference
	1504	value="#an dReaction1 001-1001"
	1505	/>
	1506
	1507	</text>
	1508
	1509	<statusCod e
	1510	code="comp leted"
	1511	/>
	1512
	1513	<effective Time>
	1514
	1515	<low
	1516	nullFlavor ="UNK"
	1517	/>
	1518
	1519	</effectiv eTime>
	1520
	1521	<!-- 6.06 REACTION C ODED optio nal, when uncoded on ly xsi:typ e=CD allow ed -->
	1522
	1523	<value
	1524	xsi:type=" CD"
	1525	/>
	1526
	1527	</observat ion>
	1528
	1529	</entryRel ationship>
	1530	<entryRela tionship
	1531	inversionI nd="true"
	1532	typeCode=" MFST"
	1533	>
	1534
	1535	<observati on
	1536	classCode= "OBS"
	1537	moodCode=" EVN"
	1538	>
	1539
	1540	<!-- React ion Templa te ID -->
	1541
	1542	<templateI d
	1543	root="2.16 .840.1.113 883. IP "
	1544	/>
	1545
	1546	<!-- HITSP C32 V2.5: Allerg y Template s -->
	1547
	1548	<templateI d
	1549	root="2.16 .840.1.113 883. IP "
	1550	/>
	1551
	1552	<templateI d
	1553	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5"
	1554	/>
	1555
	1556	<templateI d
	1557	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.6"
	1558	/>
	1559
	1560	<id
	1561	nullFlavor ="UNK"
	1562	/>
	1563
	1564	<code
	1565	code="ASSE RTION"
	1566	codeSystem ="2.16.840 .1.113883. 5.4"
	1567	codeSystem Name="HL7A ctCode"
	1568	/>
	1569
	1570	<!-- 6.05 REACTION-F REE TEXT, optional,- ->
	1571
	1572	<text>
	1573
	1574	<reference
	1575	value="#an dReaction1 001-1002"
	1576	/>
	1577
	1578	</text>
	1579
	1580	<statusCod e
	1581	code="comp leted"
	1582	/>
	1583
	1584	<effective Time>
	1585
	1586	<low
	1587	nullFlavor ="UNK"
	1588	/>
	1589
	1590	</effectiv eTime>
	1591
	1592	<!-- 6.06 REACTION C ODED optio nal, when uncoded on ly xsi:typ e=CD allow ed -->
	1593
	1594	<value
	1595	xsi:type=" CD"
	1596	/>
	1597
	1598	</observat ion>
	1599
	1600	</entryRel ationship>
	1601
	1602	</observat ion>
	1603
	1604	</entryRel ationship>
	1605
	1606	</act>
	1607
	1608	</entry>
	1609	<entry
	1610	typeCode=" DRIV"
	1611	>
	1612
	1613	<act
	1614	classCode= "ACT"
	1615	moodCode=" EVN"
	1616	>
	1617
	1618	<templateI d
	1619	assigningA uthorityNa me="CCD"
	1620	root="2.16 .840.1.113 883. IP "
	1621	/>
	1622
	1623	<!-- HITSP C32 V2.5: Template s for Alle rgy/Drug M odule/Entr y -->
	1624
	1625	<templateI d
	1626	root="2.16 .840.1.113 883.3.88.1 1.83.6"
	1627	/>
	1628
	1629	<templateI d
	1630	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5.1"
	1631	/>
	1632
	1633	<templateI d
	1634	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5.3"
	1635	/>
	1636
	1637	<!-- CCD A llergy Act ID as nul lflavor -- >
	1638
	1639	<id
	1640	nullFlavor ="UNK"
	1641	/>
	1642
	1643	<code
	1644	nullFlavor ="NA"
	1645	/>
	1646
	1647	<!-- HITSP C32 V2.5: IHE Conc ern Templa te Require s statusCo de and eff ectiveTime -->
	1648
	1649	<statusCod e
	1650	code="acti ve"
	1651	/>
	1652
	1653	<effective Time>
	1654
	1655	<low
	1656	nullFlavor ="UNK"
	1657	/>
	1658
	1659	</effectiv eTime>
	1660
	1661	<!-- INFOR MATION SOU RCE FOR AL LERGIES/DR UG, Option al -->
	1662
	1663	<author>
	1664
	1665	<!-- ADD TIME TO IN FORMATION SOURCE FOR ALLERGIES /DRUG -->
	1666
	1667	<time
	1668	nullFlavor ="UNK"
	1669	/>
	1670
	1671	<assignedA uthor>
	1672
	1673	<id
	1674	nullFlavor ="NI"
	1675	/>
	1676
	1677	<!-- HITSP C32 V2.5: Address Required for assign edEntity, but VA Vis tA data no t yet avai lable -->
	1678
	1679	<addr/>
	1680
	1681	<!-- HITSP C32 V2.5: Teleco m Required for assig nedEntity, but VA Vi stA data n ot yet ava ilable -->
	1682
	1683	<telecom/>
	1684
	1685	<represent edOrganiza tion>
	1686
	1687	<!-- INFOR MATION SOU RCE FOR FA CILITY ID= VA OID, EX T= VAMC TR EATING FAC ILITY NBR -->
	1688
	1689	<id
	1690	extension= "984"
	1691	root="2.16 .840.1.113 883.4.349"
	1692	/>
	1693
	1694	<!-- INFOR MATION SOU RCE FACILI TY NAME (f acilityNam e) -->
	1695
	1696	<name>
	1697	DAYTSHR TE ST LAB
	1698	</name>
	1699
	1700	<!-- HITSP C32 V2.5: Teleco m Required for repre sentedOrga nization, but VA Vis tA data no t yet avai lable -->
	1701
	1702	<telecom/>
	1703
	1704	<!-- HITSP C32 V2.5: Address Required for repres entedOrgan ization, b ut VA Vist A data not yet avail able -->
	1705
	1706	<addr/>
	1707
	1708	</represen tedOrganiz ation>
	1709
	1710	</assigned Author>
	1711
	1712	</author>
	1713
	1714	<entryRela tionship
	1715	inversionI nd="false"
	1716	typeCode=" SUBJ"
	1717	>
	1718
	1719	<observati on
	1720	classCode= "OBS"
	1721	moodCode=" EVN"
	1722	>
	1723
	1724	<!-- HITSP C32 V2.5: Allerg y Template s -->
	1725
	1726	<templateI d
	1727	root="2.16 .840.1.113 883. IP "
	1728	/>
	1729
	1730	<!-- Alert observati on templat e -->
	1731
	1732	<templateI d
	1733	root="2.16 .840.1.113 883. IP "
	1734	/>
	1735
	1736	<templateI d
	1737	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5"
	1738	/>
	1739
	1740	<templateI d
	1741	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.6"
	1742	/>
	1743
	1744	<!-- HITSP C32 V2.5: IHE Obser vation Tem plates Req uire Id -- >
	1745
	1746	<id
	1747	nullFlavor ="UNK"
	1748	/>
	1749
	1750	<!-- 6.02 ADVERSE EV ENT TYPE, REQUIRED; SNOMED CT -->
	1751
	1752	<!-- HITSP C32 V2.5: 6.02 ADV ERSE EVENT TYPE SNOM ED CT Term inology Re quired -->
	1753
	1754	<code
	1755	code="4195 11003"
	1756	codeSystem ="2.16.840 .1.113883. 6.96"
	1757	codeSystem Name="SNOM ED CT"
	1758	displayNam e="Propens ity to adv erse react ions to dr ug"
	1759	>
	1760
	1761	<originalT ext>
	1762	DRUG
	1763	</original Text>
	1764
	1765	</code>
	1766
	1767	<!-- IHE Status Cod e fro Obse rvation -- >
	1768
	1769	<statusCod e
	1770	code="comp leted"
	1771	/>
	1772
	1773	<!-- 6.01 ADVERSE EV ENT DATE, Optional-R 2 -->
	1774
	1775	<effective Time>
	1776
	1777	<low
	1778	value="201 0091009044 4"
	1779	/>
	1780
	1781	</effectiv eTime>
	1782
	1783	<!-- HITSP C32 V2.5: IHE Alle rgy Concer n Template Requires value, Whe n uncoded only xsi:t ype=CD all owed -->
	1784
	1785	<value
	1786	xsi:type=" CD"
	1787	/>
	1788
	1789	<!-- HITSP C32 V2.5: Participa nt block f or 6.04-Pr oduct Code d -->
	1790
	1791	<participa nt
	1792	typeCode=" CSM"
	1793	>
	1794
	1795	<participa ntRole
	1796	classCode= "MANU"
	1797	>
	1798
	1799	<playingEn tity
	1800	classCode= "MMAT"
	1801	>
	1802
	1803	<!-- 6.04 PRODUCT C ODED, Opti onal-R2, R emoved b/c data not yet availa ble via VA VistA RPC s -->
	1804
	1805	<code
	1806	code="UNK"
	1807	nullFlavor ="UNK"
	1808	>
	1809
	1810	<originalT ext>
	1811
	1812	<reference
	1813	value="#an dCodedAlle rgyName100 2"
	1814	/>
	1815
	1816	</original Text>
	1817
	1818	</code>
	1819
	1820	<!-- 6.03 PRODUCT FR EE TEXT, R EQUIRED-->
	1821
	1822	<name>
	1823	PENICILLIN
	1824	</name>
	1825
	1826	</playingE ntity>
	1827
	1828	</particip antRole>
	1829
	1830	</particip ant>
	1831
	1832	<!-- SEVE RITY ENTRY RELATIONS HIP BLOCK optional, 0 or 1 per Allergy - ->
	1833
	1834
	1835	<!-- REAC TION ENTRY RELATIONSH IP BLOCK o ptional, r epeatable -->
	1836
	1837	<entryRela tionship
	1838	inversionI nd="true"
	1839	typeCode=" MFST"
	1840	>
	1841
	1842	<observati on
	1843	classCode= "OBS"
	1844	moodCode=" EVN"
	1845	>
	1846
	1847	<!-- React ion Templa te ID -->
	1848
	1849	<templateI d
	1850	root="2.16 .840.1.113 883. IP "
	1851	/>
	1852
	1853	<!-- HITSP C32 V2.5: Allerg y Template s -->
	1854
	1855	<templateI d
	1856	root="2.16 .840.1.113 883. IP "
	1857	/>
	1858
	1859	<templateI d
	1860	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5"
	1861	/>
	1862
	1863	<templateI d
	1864	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.6"
	1865	/>
	1866
	1867	<id
	1868	nullFlavor ="UNK"
	1869	/>
	1870
	1871	<code
	1872	code="ASSE RTION"
	1873	codeSystem ="2.16.840 .1.113883. 5.4"
	1874	codeSystem Name="HL7A ctCode"
	1875	/>
	1876
	1877	<!-- 6.05 REACTION-F REE TEXT, optional,- ->
	1878
	1879	<text>
	1880
	1881	<reference
	1882	value="#an dReaction1 002-1003"
	1883	/>
	1884
	1885	</text>
	1886
	1887	<statusCod e
	1888	code="comp leted"
	1889	/>
	1890
	1891	<effective Time>
	1892
	1893	<low
	1894	nullFlavor ="UNK"
	1895	/>
	1896
	1897	</effectiv eTime>
	1898
	1899	<!-- 6.06 REACTION C ODED optio nal, when uncoded on ly xsi:typ e=CD allow ed -->
	1900
	1901	<value
	1902	xsi:type=" CD"
	1903	/>
	1904
	1905	</observat ion>
	1906
	1907	</entryRel ationship>
	1908
	1909	</observat ion>
	1910
	1911	</entryRel ationship>
	1912
	1913	</act>
	1914
	1915	</entry>
	1916
	1917	</section>
	1918
	1919	</componen t>
	1920
	1921	<!--
	1922	**** ****** ****** ****** ****** ********
	1923	PROBLE M/CONDITIO N SECTION
	1924	**** ****** ****** ****** ****** ********
	1925	-->
	1926
	1927	<component >
	1928
	1929	<!-- Compo nent 2 -->
	1930
	1931	<section>
	1932
	1933	<!-- CCD P roblem Sec tion Templ ate -->
	1934
	1935	<templateI d
	1936	root="2.16 .840.1.113 883. IP "
	1937	/>
	1938
	1939	<!-- HITSP C32 V2.5: Problem Section Te mplate -->
	1940
	1941	<templateI d
	1942	root="2.16 .840.1.113 883.3.88.1 1.83.103"
	1943	/>
	1944
	1945	<!-- HITSP C32 V2.5: IHE Acti ve Problem s Section Template - ->
	1946
	1947	<templateI d
	1948	root="1.3. 6.1.4.1.19 376.1.5.3. 1.3.6"
	1949	/>
	1950
	1951	<!-- HITSP C32 V2.5: C83 - IH E Problem Concern Te mplates -- >
	1952
	1953	<!-- templ ateId root ="1.3.6.1. 4.1.19376. 1.5.3.1.4. 5.1"/
	1954	<templateI d root="1. 3.6.1.4.1. 19376.1.5. 3.1.4.5.2" / -->
	1955
	1956	<code
	1957	code="1145 0-4"
	1958	codeSystem ="2.16.840 .1.113883. 6.1"
	1959	codeSystem Name="LOIN C"
	1960	displayNam e="Problem s"
	1961	/>
	1962
	1963	<title>
	1964	Problems/C onditions
	1965	</title>
	1966
	1967	<!-- PROB LEMS NARRA TIVE BLOCK , Required -->
	1968
	1969	<text>
	1970
	1971	<!-- VLER SEG 1B: Pr oblem/Cond ition Busi ness Rules for Medic al Content -->
	1972
	1973	<table
	1974	border="1"
	1975	width="100 %"
	1976	>
	1977
	1978	<thead>
	1979
	1980	<tr>
	1981
	1982	<th>
	1983	Department of Vetera ns Affairs
	1984	</th>
	1985
	1986	<th>
	1987	Business R ules for C onstructio n of Medic al Informa tion
	1988	</th>
	1989
	1990	</tr>
	1991
	1992	</thead>
	1993
	1994	<tbody>
	1995
	1996	<tr>
	1997
	1998	<td>
	1999	Problems/C onditions
	2000	</td>
	2001
	2002	<td>
	2003	This secti on contain s patient conditions (active a nd inactiv e) informa tion from all VA tre atment fac ilities. I t does not contain p atient con ditions th at were de leted.
	2004	</td>
	2005
	2006	</tr>
	2007
	2008	</tbody>
	2009
	2010	</table>
	2011
	2012	<table
	2013	ID="proble mNarritive "
	2014	border="1"
	2015	width="100 %"
	2016	>
	2017
	2018	<thead>
	2019
	2020	<tr>
	2021
	2022	<th>
	2023	Problem
	2024	</th>
	2025
	2026	<th>
	2027	Status
	2028	</th>
	2029
	2030	<th>
	2031	Problem Co de
	2032	</th>
	2033
	2034	<th>
	2035	Date of On set
	2036	</th>
	2037
	2038	<th>
	2039	Provider
	2040	</th>
	2041
	2042	<th>
	2043	Source
	2044	</th>
	2045
	2046	</tr>
	2047
	2048	</thead>
	2049
	2050	<tbody>
	2051
	2052	<tr>
	2053
	2054	<td>
	2055
	2056	<content
	2057	ID="pndPro blem1001"
	2058	>
	2059	Acute myoc arditis (I CD-9-CM 42 2.90)
	2060	</content>
	2061
	2062	</td>
	2063
	2064	<td>
	2065
	2066	<content
	2067	ID="pndSta tus1001"
	2068	>
	2069	Active
	2070	</content>
	2071
	2072	</td>
	2073
	2074	<td>
	2075
	2076	<content
	2077	ID="pndPro blemCode10 01"
	2078	>
	2079	422.90
	2080	</content>
	2081
	2082	</td>
	2083
	2084	<td>
	2085
	2086	<content
	2087	ID="pndDat eOfOnset10 01"
	2088	>
	2089	20100819
	2090	</content>
	2091
	2092	</td>
	2093
	2094	<td>
	2095
	2096	<content
	2097	ID="pndPro vider1001"
	2098	>
	2099	ONLOES,SON JA
	2100	</content>
	2101
	2102	</td>
	2103
	2104	<td>
	2105
	2106	<content
	2107	ID="pndSou rce1001"
	2108	>
	2109	DAYTON
	2110	</content>
	2111
	2112	</td>
	2113
	2114	</tr>
	2115	<tr>
	2116
	2117	<td>
	2118
	2119	<content
	2120	ID="pndPro blem1002"
	2121	>
	2122	Osteoporos is, disuse (ICD-9-CM 733.03)
	2123	</content>
	2124
	2125	</td>
	2126
	2127	<td>
	2128
	2129	<content
	2130	ID="pndSta tus1002"
	2131	>
	2132	Active
	2133	</content>
	2134
	2135	</td>
	2136
	2137	<td>
	2138
	2139	<content
	2140	ID="pndPro blemCode10 02"
	2141	>
	2142	733.03
	2143	</content>
	2144
	2145	</td>
	2146
	2147	<td>
	2148
	2149	<content
	2150	ID="pndDat eOfOnset10 02"
	2151	>
	2152	20050320
	2153	</content>
	2154
	2155	</td>
	2156
	2157	<td>
	2158
	2159	<content
	2160	ID="pndPro vider1002"
	2161	>
	2162	HASHEMZADE H,DARIOUSH
	2163	</content>
	2164
	2165	</td>
	2166
	2167	<td>
	2168
	2169	<content
	2170	ID="pndSou rce1002"
	2171	>
	2172	DAYTON
	2173	</content>
	2174
	2175	</td>
	2176
	2177	</tr>
	2178	<tr>
	2179
	2180	<td>
	2181
	2182	<content
	2183	ID="pndPro blem1003"
	2184	>
	2185	Displaceme nt of cerv ical inter vertebral disc witho ut myelopa thy (ICD-9 -CM 722.0)
	2186	</content>
	2187
	2188	</td>
	2189
	2190	<td>
	2191
	2192	<content
	2193	ID="pndSta tus1003"
	2194	>
	2195	Active
	2196	</content>
	2197
	2198	</td>
	2199
	2200	<td>
	2201
	2202	<content
	2203	ID="pndPro blemCode10 03"
	2204	>
	2205	722.0
	2206	</content>
	2207
	2208	</td>
	2209
	2210	<td>
	2211
	2212	<content
	2213	ID="pndDat eOfOnset10 03"
	2214	>
	2215	19940407
	2216	</content>
	2217
	2218	</td>
	2219
	2220	<td>
	2221
	2222	<content
	2223	ID="pndPro vider1003"
	2224	>
	2225	HASHEMZADE H,DARIOUSH
	2226	</content>
	2227
	2228	</td>
	2229
	2230	<td>
	2231
	2232	<content
	2233	ID="pndSou rce1003"
	2234	>
	2235	DAYTON
	2236	</content>
	2237
	2238	</td>
	2239
	2240	</tr>
	2241
	2242	</tbody>
	2243
	2244	</table>
	2245
	2246	</text>
	2247
	2248	<entry
	2249	typeCode=" DRIV"
	2250	>
	2251
	2252	<act
	2253	classCode= "ACT"
	2254	moodCode=" EVN"
	2255	>
	2256
	2257	<!-- CCD P roblem Act Template -->
	2258
	2259	<templateI d
	2260	root="2.16 .840.1.113 883. IP "
	2261	/>
	2262
	2263	<!-- HITSP V2.5: C8 3 Template s for Prob lem Module /Entry -->
	2264
	2265	<templateI d
	2266	root="2.16 .840.1.113 883.3.88.1 1.83.7"
	2267	/>
	2268
	2269	<templateI d
	2270	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5.1"
	2271	/>
	2272
	2273	<templateI d
	2274	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5.2"
	2275	/>
	2276
	2277	<!-- CCD P roblem Act ID as nul lFlavor - ->
	2278
	2279	<id
	2280	nullFlavor ="UNK"
	2281	/>
	2282
	2283	<code
	2284	nullFlavor ="NA"
	2285	/>
	2286
	2287	<!-- HITSP V2.5 IHE Problem Co ncern Temp lates Requ ires statu sCode -->
	2288
	2289	<statusCod e
	2290	code="comp leted"
	2291	/>
	2292
	2293	<!-- 7.01 PROBLEM D ATE (cda:l ow=Date of Onset, cd a:high=Dat e Resolved ), Optiona l R2 -->
	2294
	2295	<effective Time>
	2296
	2297	<low
	2298	value="201 00819"
	2299	/>
	2300
	2301	<high
	2302	nullFlavor ="UNK"
	2303	/>
	2304
	2305	</effectiv eTime>
	2306
	2307	<!-- 7.05 TREATING P ROVIDER id link to H ealthCare Provider E ntry-->
	2308
	2309	<performer
	2310	typeCode=" PRF"
	2311	>
	2312
	2313	<assignedE ntity>
	2314
	2315	<id
	2316	extension= "provider1 001"
	2317	root="2.16 .840.1.113 883.4.349"
	2318	/>
	2319
	2320	<!-- HITSP C32 V2.5: Address Required for assign edEntity, but VA Vis tA data no t yet avai lable -->
	2321
	2322	<addr/>
	2323
	2324	<!-- HITSP C32 V2.5: Teleco m Required for assig nedEntity, but VA Vi stA data n ot yet ava ilable -->
	2325
	2326	<telecom/>
	2327
	2328	</assigned Entity>
	2329
	2330	</performe r>
	2331
	2332	<!-- INFOR MATION SOU RCE FOR PR OBLEM, Opt ional -->
	2333
	2334	<author>
	2335
	2336	<!-- HITSP C32 V2.5: Time a s nullFlav or because VA VistA data not y et availab le -->
	2337
	2338	<time
	2339	nullFlavor ="UNK"
	2340	/>
	2341
	2342	<assignedA uthor>
	2343
	2344	<id
	2345	nullFlavor ="NI"
	2346	/>
	2347
	2348	<!-- HITSP C32 V2.5: Address Required for assign edAuthor, but VA Vis tA data no t yet avai lable -->
	2349
	2350	<addr/>
	2351
	2352	<!-- HITSP C32 V2.5: Teleco m Required for assig nedAuthor, but VA Vi stA data n ot yet ava ilable -->
	2353
	2354	<telecom/>
	2355
	2356	<represent edOrganiza tion>
	2357
	2358	<!-- INFOR MATION SOU RCE FOR FA CILITY ID= VA OID, EX T= VAMC TR EATING FAC ILITY NBR -->
	2359
	2360	<id
	2361	extension= "552"
	2362	root="2.16 .840.1.113 883.4.349"
	2363	/>
	2364
	2365	<!-- INFOR MATION SOU RCE FACILI TY NAME (f acilityNam e) -->
	2366
	2367	<name>
	2368	DAYTON
	2369	</name>
	2370
	2371	<!-- HITSP C32 V2.5: Teleco m Required for repre sentedOrga nization, but VA Vis tA data no t yet avai lable -->
	2372
	2373	<telecom/>
	2374
	2375	<!-- HITSP C32 V2.5: Address Required for repres entedOrgan ization, b ut VA Vist A data not yet avail able -->
	2376
	2377	<addr/>
	2378
	2379	</represen tedOrganiz ation>
	2380
	2381	</assigned Author>
	2382
	2383	</author>
	2384
	2385	<entryRela tionship
	2386	inversionI nd="false"
	2387	typeCode=" SUBJ"
	2388	>
	2389
	2390	<!-- CCD P roblem obs ervation - Required -->
	2391
	2392	<observati on
	2393	classCode= "OBS"
	2394	moodCode=" EVN"
	2395	>
	2396
	2397	<!-- Probl em observa tion templ ate -->
	2398
	2399	<templateI d
	2400	root="2.16 .840.1.113 883. IP "
	2401	/>
	2402
	2403	<!-- HITSP V2.5: C8 3 Template s for Prob lem Module /Entry -->
	2404
	2405	<templateI d
	2406	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5"
	2407	/>
	2408
	2409	<!-- CCD P roblem Obs ID as nul lFlavor - ->
	2410
	2411	<id
	2412	nullFlavor ="UNK"
	2413	/>
	2414
	2415	<!-- 7.02 PROBLEM TY PE, R2, SN OMED CT - ->
	2416
	2417	<!-- HITSP C32 V2.5: 7.02 PRO BLEM TYPE, Optional SNOMED CT, provided as nullFal vor b/c da ta not yet available via VA Vi stA RPCs - ->
	2418
	2419	<code
	2420	codeSystem ="2.16.840 .1.113883. 6.96"
	2421	codeSystem Name="SNOM ED CT"
	2422	nullFlavor ="UNK"
	2423	>
	2424
	2425	<originalT ext>
	2426	Problem Ty pe Not Ava ilable
	2427	</original Text>
	2428
	2429	</code>
	2430
	2431	<!-- 7.03 PROBLEM NA ME, REQUIR ED -->
	2432
	2433	<text>
	2434
	2435	<reference
	2436	value="#pn dProblem10 01"
	2437	/>
	2438
	2439	</text>
	2440
	2441	<statusCod e
	2442	code="comp leted"
	2443	/>
	2444
	2445	<!-- HITSP V2.5: IH E Problem Templates Require lo w value en try -->
	2446
	2447	<effective Time>
	2448
	2449	<low
	2450	nullFlavor ="UNK"
	2451	/>
	2452
	2453	</effectiv eTime>
	2454
	2455	<!-- 7.04 PROBLEM C ODE, Optio nal, When uncoded on ly xsi:typ e="CD" all owed, Avai lable as I CD-9, not SNOMED CT, -->
	2456
	2457	<!-- HITSP V2.5: IH E Problem Templates Require va lue entry -->
	2458
	2459	<value
	2460	xsi:type=" CD"
	2461	>
	2462
	2463	<translati on
	2464	code="422. 90"
	2465	codeSystem ="2.16.840 .1.113883. 6.103"
	2466	codeSystem Name="ICD- 9-CM"
	2467	/>
	2468
	2469	</value>
	2470
	2471	<!-- 7.12 PROBLEM S TATUS entr yRelations hip block, Optional, -->
	2472
	2473	<entryRela tionship
	2474	typeCode=" REFR"
	2475	>
	2476
	2477	<observati on
	2478	classCode= "OBS"
	2479	moodCode=" EVN"
	2480	>
	2481
	2482	<!-- HITSP C32 V2.5: CCD Prob lem status observati on templat e -->
	2483
	2484	<templateI d
	2485	root="2.16 .840.1.113 883. IP "
	2486	/>
	2487
	2488	<code
	2489	code="3399 9-4"
	2490	codeSystem ="2.16.840 .1.113883. 6.1"
	2491	displayNam e="Status"
	2492	/>
	2493
	2494	<statusCod e
	2495	code="comp leted"
	2496	/>
	2497
	2498	<!-- HITS P C32 V2.5 : 7.12 PRO BLEM STATU S Optiona l, Transla ted ftom V istA value -->
	2499
	2500	<value
	2501	code="5556 1003"
	2502	codeSystem ="2.16.840 .1.113883. 6.96"
	2503	displayNam e="Active"
	2504	xsi:type=" CE"
	2505	>
	2506
	2507	<originalT ext>
	2508	ACTIVE
	2509	</original Text>
	2510
	2511	</value>
	2512
	2513	</observat ion>
	2514
	2515	</entryRel ationship>
	2516
	2517	</observat ion>
	2518
	2519	</entryRel ationship>
	2520
	2521	</act>
	2522
	2523	</entry>
	2524	<entry
	2525	typeCode=" DRIV"
	2526	>
	2527
	2528	<act
	2529	classCode= "ACT"
	2530	moodCode=" EVN"
	2531	>
	2532
	2533	<!-- CCD P roblem Act Template -->
	2534
	2535	<templateI d
	2536	root="2.16 .840.1.113 883. IP "
	2537	/>
	2538
	2539	<!-- HITSP V2.5: C8 3 Template s for Prob lem Module /Entry -->
	2540
	2541	<templateI d
	2542	root="2.16 .840.1.113 883.3.88.1 1.83.7"
	2543	/>
	2544
	2545	<templateI d
	2546	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5.1"
	2547	/>
	2548
	2549	<templateI d
	2550	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5.2"
	2551	/>
	2552
	2553	<!-- CCD P roblem Act ID as nul lFlavor - ->
	2554
	2555	<id
	2556	nullFlavor ="UNK"
	2557	/>
	2558
	2559	<code
	2560	nullFlavor ="NA"
	2561	/>
	2562
	2563	<!-- HITSP V2.5 IHE Problem Co ncern Temp lates Requ ires statu sCode -->
	2564
	2565	<statusCod e
	2566	code="comp leted"
	2567	/>
	2568
	2569	<!-- 7.01 PROBLEM D ATE (cda:l ow=Date of Onset, cd a:high=Dat e Resolved ), Optiona l R2 -->
	2570
	2571	<effective Time>
	2572
	2573	<low
	2574	value="200 50320"
	2575	/>
	2576
	2577	<high
	2578	nullFlavor ="UNK"
	2579	/>
	2580
	2581	</effectiv eTime>
	2582
	2583	<!-- 7.05 TREATING P ROVIDER id link to H ealthCare Provider E ntry-->
	2584
	2585	<performer
	2586	typeCode=" PRF"
	2587	>
	2588
	2589	<assignedE ntity>
	2590
	2591	<id
	2592	extension= "provider1 002"
	2593	root="2.16 .840.1.113 883.4.349"
	2594	/>
	2595
	2596	<!-- HITSP C32 V2.5: Address Required for assign edEntity, but VA Vis tA data no t yet avai lable -->
	2597
	2598	<addr/>
	2599
	2600	<!-- HITSP C32 V2.5: Teleco m Required for assig nedEntity, but VA Vi stA data n ot yet ava ilable -->
	2601
	2602	<telecom/>
	2603
	2604	</assigned Entity>
	2605
	2606	</performe r>
	2607
	2608	<!-- INFOR MATION SOU RCE FOR PR OBLEM, Opt ional -->
	2609
	2610	<author>
	2611
	2612	<!-- HITSP C32 V2.5: Time a s nullFlav or because VA VistA data not y et availab le -->
	2613
	2614	<time
	2615	nullFlavor ="UNK"
	2616	/>
	2617
	2618	<assignedA uthor>
	2619
	2620	<id
	2621	nullFlavor ="NI"
	2622	/>
	2623
	2624	<!-- HITSP C32 V2.5: Address Required for assign edAuthor, but VA Vis tA data no t yet avai lable -->
	2625
	2626	<addr/>
	2627
	2628	<!-- HITSP C32 V2.5: Teleco m Required for assig nedAuthor, but VA Vi stA data n ot yet ava ilable -->
	2629
	2630	<telecom/>
	2631
	2632	<represent edOrganiza tion>
	2633
	2634	<!-- INFOR MATION SOU RCE FOR FA CILITY ID= VA OID, EX T= VAMC TR EATING FAC ILITY NBR -->
	2635
	2636	<id
	2637	extension= "552"
	2638	root="2.16 .840.1.113 883.4.349"
	2639	/>
	2640
	2641	<!-- INFOR MATION SOU RCE FACILI TY NAME (f acilityNam e) -->
	2642
	2643	<name>
	2644	DAYTON
	2645	</name>
	2646
	2647	<!-- HITSP C32 V2.5: Teleco m Required for repre sentedOrga nization, but VA Vis tA data no t yet avai lable -->
	2648
	2649	<telecom/>
	2650
	2651	<!-- HITSP C32 V2.5: Address Required for repres entedOrgan ization, b ut VA Vist A data not yet avail able -->
	2652
	2653	<addr/>
	2654
	2655	</represen tedOrganiz ation>
	2656
	2657	</assigned Author>
	2658
	2659	</author>
	2660
	2661	<entryRela tionship
	2662	inversionI nd="false"
	2663	typeCode=" SUBJ"
	2664	>
	2665
	2666	<!-- CCD P roblem obs ervation - Required -->
	2667
	2668	<observati on
	2669	classCode= "OBS"
	2670	moodCode=" EVN"
	2671	>
	2672
	2673	<!-- Probl em observa tion templ ate -->
	2674
	2675	<templateI d
	2676	root="2.16 .840.1.113 883. IP "
	2677	/>
	2678
	2679	<!-- HITSP V2.5: C8 3 Template s for Prob lem Module /Entry -->
	2680
	2681	<templateI d
	2682	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5"
	2683	/>
	2684
	2685	<!-- CCD P roblem Obs ID as nul lFlavor - ->
	2686
	2687	<id
	2688	nullFlavor ="UNK"
	2689	/>
	2690
	2691	<!-- 7.02 PROBLEM TY PE, R2, SN OMED CT - ->
	2692
	2693	<!-- HITSP C32 V2.5: 7.02 PRO BLEM TYPE, Optional SNOMED CT, provided as nullFal vor b/c da ta not yet available via VA Vi stA RPCs - ->
	2694
	2695	<code
	2696	codeSystem ="2.16.840 .1.113883. 6.96"
	2697	codeSystem Name="SNOM ED CT"
	2698	nullFlavor ="UNK"
	2699	>
	2700
	2701	<originalT ext>
	2702	Problem Ty pe Not Ava ilable
	2703	</original Text>
	2704
	2705	</code>
	2706
	2707	<!-- 7.03 PROBLEM NA ME, REQUIR ED -->
	2708
	2709	<text>
	2710
	2711	<reference
	2712	value="#pn dProblem10 02"
	2713	/>
	2714
	2715	</text>
	2716
	2717	<statusCod e
	2718	code="comp leted"
	2719	/>
	2720
	2721	<!-- HITSP V2.5: IH E Problem Templates Require lo w value en try -->
	2722
	2723	<effective Time>
	2724
	2725	<low
	2726	nullFlavor ="UNK"
	2727	/>
	2728
	2729	</effectiv eTime>
	2730
	2731	<!-- 7.04 PROBLEM C ODE, Optio nal, When uncoded on ly xsi:typ e="CD" all owed, Avai lable as I CD-9, not SNOMED CT, -->
	2732
	2733	<!-- HITSP V2.5: IH E Problem Templates Require va lue entry -->
	2734
	2735	<value
	2736	xsi:type=" CD"
	2737	>
	2738
	2739	<translati on
	2740	code="733. 03"
	2741	codeSystem ="2.16.840 .1.113883. 6.103"
	2742	codeSystem Name="ICD- 9-CM"
	2743	/>
	2744
	2745	</value>
	2746
	2747	<!-- 7.12 PROBLEM S TATUS entr yRelations hip block, Optional, -->
	2748
	2749	<entryRela tionship
	2750	typeCode=" REFR"
	2751	>
	2752
	2753	<observati on
	2754	classCode= "OBS"
	2755	moodCode=" EVN"
	2756	>
	2757
	2758	<!-- HITSP C32 V2.5: CCD Prob lem status observati on templat e -->
	2759
	2760	<templateI d
	2761	root="2.16 .840.1.113 883. IP "
	2762	/>
	2763
	2764	<code
	2765	code="3399 9-4"
	2766	codeSystem ="2.16.840 .1.113883. 6.1"
	2767	displayNam e="Status"
	2768	/>
	2769
	2770	<statusCod e
	2771	code="comp leted"
	2772	/>
	2773
	2774	<!-- HITS P C32 V2.5 : 7.12 PRO BLEM STATU S Optiona l, Transla ted ftom V istA value -->
	2775
	2776	<value
	2777	code="5556 1003"
	2778	codeSystem ="2.16.840 .1.113883. 6.96"
	2779	displayNam e="Active"
	2780	xsi:type=" CE"
	2781	>
	2782
	2783	<originalT ext>
	2784	ACTIVE
	2785	</original Text>
	2786
	2787	</value>
	2788
	2789	</observat ion>
	2790
	2791	</entryRel ationship>
	2792
	2793	</observat ion>
	2794
	2795	</entryRel ationship>
	2796
	2797	</act>
	2798
	2799	</entry>
	2800	<entry
	2801	typeCode=" DRIV"
	2802	>
	2803
	2804	<act
	2805	classCode= "ACT"
	2806	moodCode=" EVN"
	2807	>
	2808
	2809	<!-- CCD P roblem Act Template -->
	2810
	2811	<templateI d
	2812	root="2.16 .840.1.113 883. IP "
	2813	/>
	2814
	2815	<!-- HITSP V2.5: C8 3 Template s for Prob lem Module /Entry -->
	2816
	2817	<templateI d
	2818	root="2.16 .840.1.113 883.3.88.1 1.83.7"
	2819	/>
	2820
	2821	<templateI d
	2822	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5.1"
	2823	/>
	2824
	2825	<templateI d
	2826	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5.2"
	2827	/>
	2828
	2829	<!-- CCD P roblem Act ID as nul lFlavor - ->
	2830
	2831	<id
	2832	nullFlavor ="UNK"
	2833	/>
	2834
	2835	<code
	2836	nullFlavor ="NA"
	2837	/>
	2838
	2839	<!-- HITSP V2.5 IHE Problem Co ncern Temp lates Requ ires statu sCode -->
	2840
	2841	<statusCod e
	2842	code="comp leted"
	2843	/>
	2844
	2845	<!-- 7.01 PROBLEM D ATE (cda:l ow=Date of Onset, cd a:high=Dat e Resolved ), Optiona l R2 -->
	2846
	2847	<effective Time>
	2848
	2849	<low
	2850	value="199 40407"
	2851	/>
	2852
	2853	<high
	2854	nullFlavor ="UNK"
	2855	/>
	2856
	2857	</effectiv eTime>
	2858
	2859	<!-- 7.05 TREATING P ROVIDER id link to H ealthCare Provider E ntry-->
	2860
	2861	<performer
	2862	typeCode=" PRF"
	2863	>
	2864
	2865	<assignedE ntity>
	2866
	2867	<id
	2868	extension= "provider1 003"
	2869	root="2.16 .840.1.113 883.4.349"
	2870	/>
	2871
	2872	<!-- HITSP C32 V2.5: Address Required for assign edEntity, but VA Vis tA data no t yet avai lable -->
	2873
	2874	<addr/>
	2875
	2876	<!-- HITSP C32 V2.5: Teleco m Required for assig nedEntity, but VA Vi stA data n ot yet ava ilable -->
	2877
	2878	<telecom/>
	2879
	2880	</assigned Entity>
	2881
	2882	</performe r>
	2883
	2884	<!-- INFOR MATION SOU RCE FOR PR OBLEM, Opt ional -->
	2885
	2886	<author>
	2887
	2888	<!-- HITSP C32 V2.5: Time a s nullFlav or because VA VistA data not y et availab le -->
	2889
	2890	<time
	2891	nullFlavor ="UNK"
	2892	/>
	2893
	2894	<assignedA uthor>
	2895
	2896	<id
	2897	nullFlavor ="NI"
	2898	/>
	2899
	2900	<!-- HITSP C32 V2.5: Address Required for assign edAuthor, but VA Vis tA data no t yet avai lable -->
	2901
	2902	<addr/>
	2903
	2904	<!-- HITSP C32 V2.5: Teleco m Required for assig nedAuthor, but VA Vi stA data n ot yet ava ilable -->
	2905
	2906	<telecom/>
	2907
	2908	<represent edOrganiza tion>
	2909
	2910	<!-- INFOR MATION SOU RCE FOR FA CILITY ID= VA OID, EX T= VAMC TR EATING FAC ILITY NBR -->
	2911
	2912	<id
	2913	extension= "552"
	2914	root="2.16 .840.1.113 883.4.349"
	2915	/>
	2916
	2917	<!-- INFOR MATION SOU RCE FACILI TY NAME (f acilityNam e) -->
	2918
	2919	<name>
	2920	DAYTON
	2921	</name>
	2922
	2923	<!-- HITSP C32 V2.5: Teleco m Required for repre sentedOrga nization, but VA Vis tA data no t yet avai lable -->
	2924
	2925	<telecom/>
	2926
	2927	<!-- HITSP C32 V2.5: Address Required for repres entedOrgan ization, b ut VA Vist A data not yet avail able -->
	2928
	2929	<addr/>
	2930
	2931	</represen tedOrganiz ation>
	2932
	2933	</assigned Author>
	2934
	2935	</author>
	2936
	2937	<entryRela tionship
	2938	inversionI nd="false"
	2939	typeCode=" SUBJ"
	2940	>
	2941
	2942	<!-- CCD P roblem obs ervation - Required -->
	2943
	2944	<observati on
	2945	classCode= "OBS"
	2946	moodCode=" EVN"
	2947	>
	2948
	2949	<!-- Probl em observa tion templ ate -->
	2950
	2951	<templateI d
	2952	root="2.16 .840.1.113 883. IP "
	2953	/>
	2954
	2955	<!-- HITSP V2.5: C8 3 Template s for Prob lem Module /Entry -->
	2956
	2957	<templateI d
	2958	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5"
	2959	/>
	2960
	2961	<!-- CCD P roblem Obs ID as nul lFlavor - ->
	2962
	2963	<id
	2964	nullFlavor ="UNK"
	2965	/>
	2966
	2967	<!-- 7.02 PROBLEM TY PE, R2, SN OMED CT - ->
	2968
	2969	<!-- HITSP C32 V2.5: 7.02 PRO BLEM TYPE, Optional SNOMED CT, provided as nullFal vor b/c da ta not yet available via VA Vi stA RPCs - ->
	2970
	2971	<code
	2972	codeSystem ="2.16.840 .1.113883. 6.96"
	2973	codeSystem Name="SNOM ED CT"
	2974	nullFlavor ="UNK"
	2975	>
	2976
	2977	<originalT ext>
	2978	Problem Ty pe Not Ava ilable
	2979	</original Text>
	2980
	2981	</code>
	2982
	2983	<!-- 7.03 PROBLEM NA ME, REQUIR ED -->
	2984
	2985	<text>
	2986
	2987	<reference
	2988	value="#pn dProblem10 03"
	2989	/>
	2990
	2991	</text>
	2992
	2993	<statusCod e
	2994	code="comp leted"
	2995	/>
	2996
	2997	<!-- HITSP V2.5: IH E Problem Templates Require lo w value en try -->
	2998
	2999	<effective Time>
	3000
	3001	<low
	3002	nullFlavor ="UNK"
	3003	/>
	3004
	3005	</effectiv eTime>
	3006
	3007	<!-- 7.04 PROBLEM C ODE, Optio nal, When uncoded on ly xsi:typ e="CD" all owed, Avai lable as I CD-9, not SNOMED CT, -->
	3008
	3009	<!-- HITSP V2.5: IH E Problem Templates Require va lue entry -->
	3010
	3011	<value
	3012	xsi:type=" CD"
	3013	>
	3014
	3015	<translati on
	3016	code="722. 0"
	3017	codeSystem ="2.16.840 .1.113883. 6.103"
	3018	codeSystem Name="ICD- 9-CM"
	3019	/>
	3020
	3021	</value>
	3022
	3023	<!-- 7.12 PROBLEM S TATUS entr yRelations hip block, Optional, -->
	3024
	3025	<entryRela tionship
	3026	typeCode=" REFR"
	3027	>
	3028
	3029	<observati on
	3030	classCode= "OBS"
	3031	moodCode=" EVN"
	3032	>
	3033
	3034	<!-- HITSP C32 V2.5: CCD Prob lem status observati on templat e -->
	3035
	3036	<templateI d
	3037	root="2.16 .840.1.113 883. IP "
	3038	/>
	3039
	3040	<code
	3041	code="3399 9-4"
	3042	codeSystem ="2.16.840 .1.113883. 6.1"
	3043	displayNam e="Status"
	3044	/>
	3045
	3046	<statusCod e
	3047	code="comp leted"
	3048	/>
	3049
	3050	<!-- HITS P C32 V2.5 : 7.12 PRO BLEM STATU S Optiona l, Transla ted ftom V istA value -->
	3051
	3052	<value
	3053	code="5556 1003"
	3054	codeSystem ="2.16.840 .1.113883. 6.96"
	3055	displayNam e="Active"
	3056	xsi:type=" CE"
	3057	>
	3058
	3059	<originalT ext>
	3060	ACTIVE
	3061	</original Text>
	3062
	3063	</value>
	3064
	3065	</observat ion>
	3066
	3067	</entryRel ationship>
	3068
	3069	</observat ion>
	3070
	3071	</entryRel ationship>
	3072
	3073	</act>
	3074
	3075	</entry>
	3076
	3077	</section>
	3078
	3079	</componen t>
	3080
	3081	<!--
	3082	**** ****** ****** ****** ****** ********
	3083	MEDICA TIONS (RX & Non-RX) SECTION
	3084	**** ****** ****** ****** ****** ********
	3085	-->
	3086
	3087
	3088	<!--
	3089	**** ****** ****** ****** ****** ********
	3090	VLER S EG 1B: VI TAL SIGNS SECTION
	3091	**** ****** ****** ****** ****** ********
	3092	-->
	3093
	3094
	3095	<!--
	3096	**** ****** ****** ****** ****** ********
	3097	VLER S EG 1B: LA B RESULTS SECTION (C hemistry/H ematology)
	3098	**** ****** ****** ****** ****** ********
	3099	-->
	3100
	3101
	3102	<!--
	3103	****** ****** ****** ****** ****** ******
	3104	VLER SEG MENT 1B: IMMUNIZATI ON SECTION
	3105	****** ****** ****** ****** ****** ******
	3106	-->
	3107
	3108	<component >
	3109
	3110	<!-- Compo nent 6 -->
	3111
	3112	<section>
	3113
	3114	<!-- Immun izations s ection tem plate -->
	3115
	3116	<templateI d
	3117	root="2.16 .840.1.113 883. IP "
	3118	/>
	3119
	3120	<templateI d
	3121	root="1.3. 6.1.4.1.19 376.1.5.3. 1.3.23"
	3122	/>
	3123
	3124	<templateI d
	3125	root="2.16 .840.1.113 883.3.88.1 1.83.117"
	3126	/>
	3127
	3128
	3129	<code
	3130	code="1136 9-6"
	3131	codeSystem ="2.16.840 .1.113883. 6.1"
	3132	codeSystem Name="LOIN C"
	3133	displayNam e=" Histor y of immun izations "
	3134	/>
	3135
	3136	<title>
	3137	Immunizati ons
	3138	</title>
	3139
	3140	<!-- IMMU NIZATIONS NARRATIVE BLOCK , RE QUIRED -->
	3141
	3142	<text>
	3143
	3144	<!-- VLER SEG 1B: Im munization Business Rules for Medical Co ntent -->
	3145
	3146	<table
	3147	border="1"
	3148	width="100 %"
	3149	>
	3150
	3151	<thead>
	3152
	3153	<tr>
	3154
	3155	<th>
	3156	Department of Vetera ns Affairs
	3157	</th>
	3158
	3159	<th>
	3160	Business R ules for C onstructio n of Medic al Informa tion
	3161	</th>
	3162
	3163	</tr>
	3164
	3165	</thead>
	3166
	3167	<tbody>
	3168
	3169	<tr>
	3170
	3171	<td>
	3172	Immunizati ons
	3173	</td>
	3174
	3175	<td>
	3176	This secti on contain s patient immunizati ons inform ation from all VA tr eatment fa cilities. Only admin istred (i. e., not re fused) imm unizations are inclu ded.
	3177	</td>
	3178
	3179	</tr>
	3180
	3181	</tbody>
	3182
	3183	</table>
	3184
	3185	<table
	3186	ID="immuni zationNarr itive"
	3187	border="1"
	3188	width="100 %"
	3189	>
	3190
	3191	<thead>
	3192
	3193	<tr>
	3194
	3195	<th>
	3196	Immunizati on
	3197	</th>
	3198
	3199	<th>
	3200	Series
	3201	</th>
	3202
	3203	<th>
	3204	Date Issue d
	3205	</th>
	3206
	3207	<th>
	3208	Reaction
	3209	</th>
	3210
	3211	<th>
	3212	Comments
	3213	</th>
	3214
	3215	</tr>
	3216
	3217	</thead>
	3218
	3219	<tbody>
	3220
	3221	<tr>
	3222
	3223	<td>
	3224
	3225	<content
	3226	ID="indImm unization1 001"
	3227	>
	3228	INFLUENZA, UNSPECIFI ED FORMULA TION
	3229	</content>
	3230
	3231	</td>
	3232
	3233	<td>
	3234
	3235	<content
	3236	ID="indSer ies1001"
	3237	>
	3238	1
	3239	</content>
	3240
	3241	</td>
	3242
	3243	<td>
	3244
	3245	<content
	3246	ID="indDat eIssued100 1"
	3247	>
	3248	20100910
	3249	</content>
	3250
	3251	</td>
	3252
	3253	<td>
	3254
	3255	<content
	3256	ID="indRea ction1001"
	3257	>
	3258	NONE
	3259	</content>
	3260
	3261	</td>
	3262
	3263	<td>
	3264
	3265	<content
	3266	ID="indCom ments1001"
	3267	/>
	3268
	3269	</td>
	3270
	3271	</tr>
	3272	<tr>
	3273
	3274	<td>
	3275
	3276	<content
	3277	ID="indImm unization1 002"
	3278	>
	3279	TD(ADULT) UNSPECIFIE D FORMULAT ION
	3280	</content>
	3281
	3282	</td>
	3283
	3284	<td>
	3285
	3286	<content
	3287	ID="indSer ies1002"
	3288	>
	3289	1
	3290	</content>
	3291
	3292	</td>
	3293
	3294	<td>
	3295
	3296	<content
	3297	ID="indDat eIssued100 2"
	3298	>
	3299	20100910
	3300	</content>
	3301
	3302	</td>
	3303
	3304	<td>
	3305
	3306	<content
	3307	ID="indRea ction1002"
	3308	>
	3309	LOCAL REAC TION OR SW ELLING
	3310	</content>
	3311
	3312	</td>
	3313
	3314	<td>
	3315
	3316	<content
	3317	ID="indCom ments1002"
	3318	/>
	3319
	3320	</td>
	3321
	3322	</tr>
	3323
	3324	</tbody>
	3325
	3326	</table>
	3327
	3328	</text>
	3329
	3330	<entry
	3331	typeCode=" DRIV"
	3332	>
	3333
	3334	<!-- Repea t entry/su bstanceAdm instration block for each Immu nization - ->
	3335
	3336	<!-- 13.01 -REFUSAL, REQUIRED, static val ue of "fal se" -->
	3337
	3338	<!-- HITSP C32 V2.5: HL7 CDA R2-If Immu nization w as adminis tered, @ne gationInd= false -->
	3339
	3340	<substance Administra tion
	3341	classCode= "SBADM"
	3342	moodCode=" EVN"
	3343	negationIn d="false"
	3344	>
	3345
	3346	<!-- HITSP C32 V2.5: Immuniza tion Templ ates -->
	3347
	3348	<templateI d
	3349	root="2.16 .840.1.113 883. IP "
	3350	/>
	3351
	3352	<templateI d
	3353	root="2.16 .840.1.113 883.3.88.1 1.83.13"
	3354	/>
	3355
	3356	<templateI d
	3357	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.12"
	3358	/>
	3359
	3360	<!-- HITSP C32 V2.5: Immunizat ion Id as nullFlavor -->
	3361
	3362	<id
	3363	nullFlavor ="UNK"
	3364	/>
	3365
	3366	<code
	3367	code="IMMU NIZ"
	3368	codeSystem ="2.16.840 .1.113883. 5.4"
	3369	codeSystem Name="ActC ode"
	3370	/>
	3371
	3372	<!-- COMME NT REFEREN CE points to Narrati ve Block - ->
	3373
	3374	<text>
	3375	<reference
	3376	value="#in dComments1 001"
	3377	/>
	3378	</text>
	3379
	3380	<statusCod e
	3381	code="comp leted"
	3382	/>
	3383
	3384	<!-- 13.02 -ADMINISTE RED DATE, REQUIRED, -->
	3385
	3386	<effective Time
	3387	value="201 00910"
	3388	/>
	3389
	3390	<consumabl e>
	3391
	3392	<!-- HITSP C32 V2.5: Immuniza tion Medic ation -->
	3393
	3394	<manufactu redProduct >
	3395
	3396	<!-- Produ ct templat e -->
	3397
	3398	<templateI d
	3399	root="2.16 .840.1.113 883. IP "
	3400	/>
	3401
	3402	<templateI d
	3403	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7.2"
	3404	/>
	3405
	3406	<id
	3407	nullFlavor ="UNK"
	3408	/>
	3409
	3410	<!--manufa cturedLabe ledDrug></ manufactur edLabeledD rug -->
	3411
	3412	<manufactu redMateria l>
	3413
	3414	<!-- 13.06 -CODED PRO DUCT NAME, Optional, nullFlavo r b/c data not yet a vailable t hru VistA RPCs -->
	3415
	3416	<!-- HITSP C32 V2.5: CODED PR ODUCT NAME , Optional , Requires CVX-Vacci nes Admins tered , VA provides CPT-4-->
	3417
	3418	<code
	3419	code="UNK"
	3420	codeSystem ="2.16.840 .1.113883. 6.59"
	3421	codeSystem Name="CVX"
	3422	nullFlavor ="UNK"
	3423	>
	3424
	3425	<!-- 13.07 -FREE TEXT PRODUCT NA ME, REQUIR ED, Pointe r to Narra tive Block -->
	3426
	3427	<originalT ext>
	3428
	3429	<reference
	3430	value="#in dImmunizat ion1001"
	3431	/>
	3432
	3433	</original Text>
	3434
	3435	<translati on
	3436	code="9072 4"
	3437	codeSystem ="2.16.840 .1.113883. 6.12"
	3438	codeSystem Name="Curr ent Proced ural Termi nology (CP T®) Fourth Edition ( CPT-4)"
	3439	displayNam e="INFLUEN ZA IMMUNIZ ATION"
	3440	/>
	3441
	3442	</code>
	3443
	3444	<!-- 13.09 -LOT NUMBE R, Optiona l, XML omi tted b/c n ot yet da ta availab le thru Vi stA RPCs - ->
	3445
	3446	</manufact uredMateri al>
	3447
	3448	<manufactu rerOrganiz ation>
	3449
	3450	<!-- 13.08 DRUG MANU FACTURER, Optional, XML omitte d b/c not yet data a vailable t hru VistA RPCs -->
	3451
	3452	</manufact urerOrgani zation>
	3453
	3454	</manufact uredProduc t>
	3455
	3456	</consumab le>
	3457
	3458	<!-- 13.05 -PERFORMER , Optional -->
	3459
	3460	<performer
	3461	typeCode=" PRF"
	3462	>
	3463
	3464	<!-- Provi der Templa te Id -->
	3465
	3466	<templateI d
	3467	root="2.16 .840.1.113 883.3.88.1 1.32.4"
	3468	/>
	3469
	3470	<time>
	3471
	3472	<high
	3473	nullFlavor ="UNK"
	3474	/>
	3475
	3476	</time>
	3477
	3478	<assignedE ntity>
	3479
	3480	<!-- Provi der ID, ex tension = Provider I D, root=VA OID -->
	3481
	3482	<id
	3483	extension= "31131"
	3484	root="2.16 .840.1.113 883.4.349"
	3485	/>
	3486
	3487	<!-- HITSP C32 V2.5: Address Required for assign edEntity, but VA Vis tA data no t yet avai lable -->
	3488
	3489	<addr/>
	3490
	3491	<!-- HITSP C32 V2.5: Teleco m Required for iassi gnedEntity , but VA V istA data not yet av ailable -- >
	3492
	3493	<telecom/>
	3494
	3495	<assignedP erson>
	3496
	3497	<name>
	3498	NHINTEST,P ROVIDER
	3499	</name>
	3500
	3501	</assigned Person>
	3502
	3503	</assigned Entity>
	3504
	3505	</performe r>
	3506
	3507	<!-- INFOR MATION SOU RCE FOR IM MUNIZATION , Optional -->
	3508
	3509	<author>
	3510
	3511	<time
	3512	nullFlavor ="UNK"
	3513	/>
	3514
	3515	<assignedA uthor>
	3516
	3517	<id
	3518	nullFlavor ="NI"
	3519	/>
	3520
	3521	<!-- HITSP C32 V2.5: Address Required for assign edAuthor, but VA Vis tA data no t yet avai lable -->
	3522
	3523	<addr/>
	3524
	3525	<!-- HITSP C32 V2.5: Teleco m Required for assig nedAuthor, but VA Vi stA data n ot yet ava ilable -->
	3526
	3527	<telecom/>
	3528
	3529	<!-- HITSP C32 V2.5: C83 aut hor/assign edPerson/N ame Requi red but VA VistA dat a not yet available -->
	3530
	3531	<assignedP erson>
	3532
	3533	<name/>
	3534
	3535	</assigned Person>
	3536
	3537	<represent edOrganiza tion>
	3538
	3539	<!-- INFOR MATION SOU RCE FACILI TY OID (ID = VA OID, EXT = TRE ATING FACI LITY NBR) -->
	3540
	3541	<id
	3542	extension= "552"
	3543	root="2.16 .840.1.113 883.4.349"
	3544	/>
	3545
	3546	<!-- INFOR MATION SOU RCE FACILI TY NAME (f acilityNam e) -->
	3547
	3548	<name>
	3549	DAYTON
	3550	</name>
	3551
	3552	<!-- HITSP C32 V2.5: Teleco m Required for repre sentedOrga nization, but VA Vis tA data no t yet avai lable -->
	3553
	3554	<telecom/>
	3555
	3556	<!-- HITSP C32 V2.5: Address Required for repres entedOrgan ization, b ut VA Vist A data not yet avail able -->
	3557
	3558	<addr/>
	3559
	3560	</represen tedOrganiz ation>
	3561
	3562	</assigned Author>
	3563
	3564	</author>
	3565
	3566	<!-- HITSP C32 V2.5: Immuniza tion Medic ation Seri es Nbr -->
	3567
	3568	<entryRela tionship
	3569	typeCode=" SUBJ"
	3570	>
	3571
	3572	<observati on
	3573	classCode= "OBS"
	3574	moodCode=" EVN"
	3575	>
	3576
	3577	<templateI d
	3578	root="2.16 .840.1.113 883. IP "
	3579	/>
	3580
	3581	<!-- HITSP C32 V2.5: Required Code unde r Observat ion -->
	3582
	3583	<code
	3584	code="3097 3-2"
	3585	codeSystem ="2.16.840 .1.113883. 6.1"
	3586	codeSystem Name="LOIN C"
	3587	displayNam e="Dose Nu mber"
	3588	/>
	3589
	3590	<!-- HITSP C32 V2.5: Required statusCod e under Ob servation -->
	3591
	3592	<statusCod e
	3593	code="comp leted"
	3594	/>
	3595
	3596	<!-- 13.03 -MEDICATIO N SERIES N UMBER, Op tional, Se nt as STri ng not INT eger to a ccommodate VA VistA data such as P-Parti al, B-Boos ter, C-Com plete -->
	3597
	3598	<value
	3599	value="1"
	3600	xsi:type=" INT"
	3601	/>
	3602
	3603	</observat ion>
	3604
	3605	</entryRel ationship>
	3606
	3607	<!-- HITSP C32 V2.5: Immuniza tion React ion -->
	3608
	3609	<entryRela tionship
	3610	inversionI nd="false"
	3611	typeCode=" CAUS"
	3612	>
	3613
	3614	<!-- Repea t entryRel ationship/ observatio n block fo r each imm uniz react ion -->
	3615
	3616	<observati on
	3617	classCode= "OBS"
	3618	moodCode=" EVN"
	3619	>
	3620
	3621	<templateI d
	3622	root="2.16 .840.1.113 883. IP "
	3623	/>
	3624
	3625	<templateI d
	3626	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5"
	3627	/>
	3628
	3629	<templateI d
	3630	root="2.16 .840.1.113 883. IP "
	3631	/>
	3632
	3633	<!-- 13.04 -REACTION, Optional , Repeatab le -->
	3634
	3635	<id
	3636	nullFlavor ="UNK"
	3637	/>
	3638
	3639	<!-- HITSP C32 V2.5: Required Code unde r Observat ion -->
	3640
	3641	<code
	3642	nullFlavor ="UNK"
	3643	/>
	3644
	3645	<!-- HITSP C32 V2.5: Required statusCod e under Ob servation -->
	3646
	3647	<!-- 13.04 -REACTION, Pointer to IMMUNIZ ATION NARR ATIVE BLOC K not Alle rgy Entry per IHE Te mplate -->
	3648
	3649	<text>
	3650
	3651	<reference
	3652	value="#in dReaction1 001"
	3653	/>
	3654
	3655	</text>
	3656
	3657	<statusCod e
	3658	code="comp leted"
	3659	/>
	3660
	3661	<!-- HITSP C32 V2.5: IHE Temp late requi res low va lue entry -->
	3662
	3663	<effective Time>
	3664
	3665	<low
	3666	nullFlavor ="UNK"
	3667	/>
	3668
	3669	</effectiv eTime>
	3670
	3671	<!-- HITSP C32 V2.5: IHE Temp late requi res value entry -->
	3672
	3673	<value
	3674	nullFlavor ="UNK"
	3675	xsi:type=" CD"
	3676	/>
	3677
	3678	</observat ion>
	3679
	3680	</entryRel ationship>
	3681
	3682	</substanc eAdministr ation>
	3683
	3684	</entry>
	3685	<entry
	3686	typeCode=" DRIV"
	3687	>
	3688
	3689	<!-- Repea t entry/su bstanceAdm instration block for each Immu nization - ->
	3690
	3691	<!-- 13.01 -REFUSAL, REQUIRED, static val ue of "fal se" -->
	3692
	3693	<!-- HITSP C32 V2.5: HL7 CDA R2-If Immu nization w as adminis tered, @ne gationInd= false -->
	3694
	3695	<substance Administra tion
	3696	classCode= "SBADM"
	3697	moodCode=" EVN"
	3698	negationIn d="false"
	3699	>
	3700
	3701	<!-- HITSP C32 V2.5: Immuniza tion Templ ates -->
	3702
	3703	<templateI d
	3704	root="2.16 .840.1.113 883. IP "
	3705	/>
	3706
	3707	<templateI d
	3708	root="2.16 .840.1.113 883.3.88.1 1.83.13"
	3709	/>
	3710
	3711	<templateI d
	3712	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.12"
	3713	/>
	3714
	3715	<!-- HITSP C32 V2.5: Immunizat ion Id as nullFlavor -->
	3716
	3717	<id
	3718	nullFlavor ="UNK"
	3719	/>
	3720
	3721	<code
	3722	code="IMMU NIZ"
	3723	codeSystem ="2.16.840 .1.113883. 5.4"
	3724	codeSystem Name="ActC ode"
	3725	/>
	3726
	3727	<!-- COMME NT REFEREN CE points to Narrati ve Block - ->
	3728
	3729	<text>
	3730	<reference
	3731	value="#in dComments1 002"
	3732	/>
	3733	</text>
	3734
	3735	<statusCod e
	3736	code="comp leted"
	3737	/>
	3738
	3739	<!-- 13.02 -ADMINISTE RED DATE, REQUIRED, -->
	3740
	3741	<effective Time
	3742	value="201 00910"
	3743	/>
	3744
	3745	<consumabl e>
	3746
	3747	<!-- HITSP C32 V2.5: Immuniza tion Medic ation -->
	3748
	3749	<manufactu redProduct >
	3750
	3751	<!-- Produ ct templat e -->
	3752
	3753	<templateI d
	3754	root="2.16 .840.1.113 883. IP "
	3755	/>
	3756
	3757	<templateI d
	3758	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.7.2"
	3759	/>
	3760
	3761	<id
	3762	nullFlavor ="UNK"
	3763	/>
	3764
	3765	<!--manufa cturedLabe ledDrug></ manufactur edLabeledD rug -->
	3766
	3767	<manufactu redMateria l>
	3768
	3769	<!-- 13.06 -CODED PRO DUCT NAME, Optional, nullFlavo r b/c data not yet a vailable t hru VistA RPCs -->
	3770
	3771	<!-- HITSP C32 V2.5: CODED PR ODUCT NAME , Optional , Requires CVX-Vacci nes Admins tered , VA provides CPT-4-->
	3772
	3773	<code
	3774	code="UNK"
	3775	codeSystem ="2.16.840 .1.113883. 6.59"
	3776	codeSystem Name="CVX"
	3777	nullFlavor ="UNK"
	3778	>
	3779
	3780	<!-- 13.07 -FREE TEXT PRODUCT NA ME, REQUIR ED, Pointe r to Narra tive Block -->
	3781
	3782	<originalT ext>
	3783
	3784	<reference
	3785	value="#in dImmunizat ion1002"
	3786	/>
	3787
	3788	</original Text>
	3789
	3790	<translati on
	3791	code="9071 8"
	3792	codeSystem ="2.16.840 .1.113883. 6.12"
	3793	codeSystem Name="Curr ent Proced ural Termi nology (CP T®) Fourth Edition ( CPT-4)"
	3794	displayNam e="TD VACC INE > 7 IM"
	3795	/>
	3796
	3797	</code>
	3798
	3799	<!-- 13.09 -LOT NUMBE R, Optiona l, XML omi tted b/c n ot yet da ta availab le thru Vi stA RPCs - ->
	3800
	3801	</manufact uredMateri al>
	3802
	3803	<manufactu rerOrganiz ation>
	3804
	3805	<!-- 13.08 DRUG MANU FACTURER, Optional, XML omitte d b/c not yet data a vailable t hru VistA RPCs -->
	3806
	3807	</manufact urerOrgani zation>
	3808
	3809	</manufact uredProduc t>
	3810
	3811	</consumab le>
	3812
	3813	<!-- 13.05 -PERFORMER , Optional -->
	3814
	3815	<performer
	3816	typeCode=" PRF"
	3817	>
	3818
	3819	<!-- Provi der Templa te Id -->
	3820
	3821	<templateI d
	3822	root="2.16 .840.1.113 883.3.88.1 1.32.4"
	3823	/>
	3824
	3825	<time>
	3826
	3827	<high
	3828	nullFlavor ="UNK"
	3829	/>
	3830
	3831	</time>
	3832
	3833	<assignedE ntity>
	3834
	3835	<!-- Provi der ID, ex tension = Provider I D, root=VA OID -->
	3836
	3837	<id
	3838	extension= "31131"
	3839	root="2.16 .840.1.113 883.4.349"
	3840	/>
	3841
	3842	<!-- HITSP C32 V2.5: Address Required for assign edEntity, but VA Vis tA data no t yet avai lable -->
	3843
	3844	<addr/>
	3845
	3846	<!-- HITSP C32 V2.5: Teleco m Required for iassi gnedEntity , but VA V istA data not yet av ailable -- >
	3847
	3848	<telecom/>
	3849
	3850	<assignedP erson>
	3851
	3852	<name>
	3853	NHINTEST,P ROVIDER
	3854	</name>
	3855
	3856	</assigned Person>
	3857
	3858	</assigned Entity>
	3859
	3860	</performe r>
	3861
	3862	<!-- INFOR MATION SOU RCE FOR IM MUNIZATION , Optional -->
	3863
	3864	<author>
	3865
	3866	<time
	3867	nullFlavor ="UNK"
	3868	/>
	3869
	3870	<assignedA uthor>
	3871
	3872	<id
	3873	nullFlavor ="NI"
	3874	/>
	3875
	3876	<!-- HITSP C32 V2.5: Address Required for assign edAuthor, but VA Vis tA data no t yet avai lable -->
	3877
	3878	<addr/>
	3879
	3880	<!-- HITSP C32 V2.5: Teleco m Required for assig nedAuthor, but VA Vi stA data n ot yet ava ilable -->
	3881
	3882	<telecom/>
	3883
	3884	<!-- HITSP C32 V2.5: C83 aut hor/assign edPerson/N ame Requi red but VA VistA dat a not yet available -->
	3885
	3886	<assignedP erson>
	3887
	3888	<name/>
	3889
	3890	</assigned Person>
	3891
	3892	<represent edOrganiza tion>
	3893
	3894	<!-- INFOR MATION SOU RCE FACILI TY OID (ID = VA OID, EXT = TRE ATING FACI LITY NBR) -->
	3895
	3896	<id
	3897	extension= "552"
	3898	root="2.16 .840.1.113 883.4.349"
	3899	/>
	3900
	3901	<!-- INFOR MATION SOU RCE FACILI TY NAME (f acilityNam e) -->
	3902
	3903	<name>
	3904	DAYTON
	3905	</name>
	3906
	3907	<!-- HITSP C32 V2.5: Teleco m Required for repre sentedOrga nization, but VA Vis tA data no t yet avai lable -->
	3908
	3909	<telecom/>
	3910
	3911	<!-- HITSP C32 V2.5: Address Required for repres entedOrgan ization, b ut VA Vist A data not yet avail able -->
	3912
	3913	<addr/>
	3914
	3915	</represen tedOrganiz ation>
	3916
	3917	</assigned Author>
	3918
	3919	</author>
	3920
	3921	<!-- HITSP C32 V2.5: Immuniza tion Medic ation Seri es Nbr -->
	3922
	3923	<entryRela tionship
	3924	typeCode=" SUBJ"
	3925	>
	3926
	3927	<observati on
	3928	classCode= "OBS"
	3929	moodCode=" EVN"
	3930	>
	3931
	3932	<templateI d
	3933	root="2.16 .840.1.113 883. IP "
	3934	/>
	3935
	3936	<!-- HITSP C32 V2.5: Required Code unde r Observat ion -->
	3937
	3938	<code
	3939	code="3097 3-2"
	3940	codeSystem ="2.16.840 .1.113883. 6.1"
	3941	codeSystem Name="LOIN C"
	3942	displayNam e="Dose Nu mber"
	3943	/>
	3944
	3945	<!-- HITSP C32 V2.5: Required statusCod e under Ob servation -->
	3946
	3947	<statusCod e
	3948	code="comp leted"
	3949	/>
	3950
	3951	<!-- 13.03 -MEDICATIO N SERIES N UMBER, Op tional, Se nt as STri ng not INT eger to a ccommodate VA VistA data such as P-Parti al, B-Boos ter, C-Com plete -->
	3952
	3953	<value
	3954	value="1"
	3955	xsi:type=" INT"
	3956	/>
	3957
	3958	</observat ion>
	3959
	3960	</entryRel ationship>
	3961
	3962	<!-- HITSP C32 V2.5: Immuniza tion React ion -->
	3963
	3964	<entryRela tionship
	3965	inversionI nd="false"
	3966	typeCode=" CAUS"
	3967	>
	3968
	3969	<!-- Repea t entryRel ationship/ observatio n block fo r each imm uniz react ion -->
	3970
	3971	<observati on
	3972	classCode= "OBS"
	3973	moodCode=" EVN"
	3974	>
	3975
	3976	<templateI d
	3977	root="2.16 .840.1.113 883. IP "
	3978	/>
	3979
	3980	<templateI d
	3981	root="1.3. 6.1.4.1.19 376.1.5.3. 1.4.5"
	3982	/>
	3983
	3984	<templateI d
	3985	root="2.16 .840.1.113 883. IP "
	3986	/>
	3987
	3988	<!-- 13.04 -REACTION, Optional , Repeatab le -->
	3989
	3990	<id
	3991	nullFlavor ="UNK"
	3992	/>
	3993
	3994	<!-- HITSP C32 V2.5: Required Code unde r Observat ion -->
	3995
	3996	<code
	3997	nullFlavor ="UNK"
	3998	/>
	3999
	4000	<!-- HITSP C32 V2.5: Required statusCod e under Ob servation -->
	4001
	4002	<!-- 13.04 -REACTION, Pointer to IMMUNIZ ATION NARR ATIVE BLOC K not Alle rgy Entry per IHE Te mplate -->
	4003
	4004	<text>
	4005
	4006	<reference
	4007	value="#in dReaction1 002"
	4008	/>
	4009
	4010	</text>
	4011
	4012	<statusCod e
	4013	code="comp leted"
	4014	/>
	4015
	4016	<!-- HITSP C32 V2.5: IHE Temp late requi res low va lue entry -->
	4017
	4018	<effective Time>
	4019
	4020	<low
	4021	nullFlavor ="UNK"
	4022	/>
	4023
	4024	</effectiv eTime>
	4025
	4026	<!-- HITSP C32 V2.5: IHE Temp late requi res value entry -->
	4027
	4028	<value
	4029	nullFlavor ="UNK"
	4030	xsi:type=" CD"
	4031	/>
	4032
	4033	</observat ion>
	4034
	4035	</entryRel ationship>
	4036
	4037	</substanc eAdministr ation>
	4038
	4039	</entry>
	4040
	4041	</section>
	4042
	4043	</componen t>
	4044
	4045	<!--
	4046	**** ****** ****** ****** ****** ********
	4047	NHIN_C R_101, CR1 00
	4048	VLER S egment 1Bi i: ENCOUN TER SECTIO N
	4049	** ****** ****** ****** ****** ******
	4050	-->
	4051
	4052
	4053	<!--
	4054	**** ****** ****** ****** ****** ********
	4055	NHIN_C R95, CR94
	4056	VLER S egment 1Bi i: PROCED URE SECTIO N
	4057	**** ****** ****** ****** ****** ********
	4058	-->
	4059
	4060
	4061	</structur edBody>
	4062
	4063	</componen t>
	4064	</Clinical Document>